DANCE YOUTH AND ADULT DANCE REGISTRATION

REGISTER NOW - Holiday Promotion - Registration Fees waived if register before December 31st.
- Unlimited Classes $350.00 per month
- One Class per week $59.00 per month
15% discount for multiple classes, which includes siblings. Discount is included in pricing below.
DANCE YOUTH AND ADULT DANCE REGISTRATION

Youth and adults of all ages and skill levels are welcome.
CONTACT INFORMATION

Angela Rhodes

8527 Park Drive, Omaha NE

Studio: 402-817-4400 Cell: 402-490-5784

Email: info@graceunchainedstudio.com
*Instructors may recommend moving dancers up or down in skill levels based on their abilities regardless of dance experience.
Dancer Name (1st Youth/Adult)*

First NameLast Name
Dancer Age (1st Youth under 18)
Dancer Name (2nd Youth/Adult)

First NameLast Name
Dancer Age (2nd Youth under 18)
Parent Name (If under 18)*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Mondays, 3:30pm-4:15pm Ballet/Tap - Age 4-5 (Beginner)Mondays, 4:15pm-5:00pm Ballet/Tap - Age 6-7 (Beginner)Mondays, 5:00pm-5:45pm Ballet/Tap - Age 8-10 (Beginner/Intermediate)Mondays, 5:45pm - 6:45pm Acrobatics/Tumbling - All Ages (Must be able to complete a front walkover, back bends, round off, cart wheels, balance without wall support, tumbling skills on both sides)*Mondays, 6:45pm - 7:45pm Acrobatics/Tumbling - All Ages (Beginner/Intermediate)Tuesdays, 10:00am-11:00am - Ages 3-8 All styles of danceWednesdays, 4:15pm- 5:00pm - Ballet/Tap - Age 4-5 (Beginner)Wednesdays, 5:00pm-5:45pm - Ballet - 6-7 (Beginner/Intermediate)Wednesdays, 5:45pm-6:45pm - Hip Hop - Age 4-9 (Beginner/Intermediate)Wednesdays, 6:45pm-7:45pm - Hip Hop - Age 10+ (Advanced)*Wednesdays, 6:45pm-7:45pm - Latin Jazz - Age 4-7 (Beginner/Intermediate)Thursdays, 5:45pm-6:45pm - Combo (Contemporary/Lyrical/Jazz) - Age 10+ (Advanced)*Thursdays, 5:45pm-6:45pm - Leaps & Turns - Age 4-9 (Beginner/Intermediate)Thursdays, 6:45pm-7:45pm - Floor Barre - Age 10+ (Advanced)*Thursdays, 7:45pm-8:45pm - Leaps & Turns - Age 10+ (Advanced)*Thursdays, 8:45pm-9:30pm - Heels Class - Age 12+ (Intermediate/Advanced-Focus on technique in various styles in jazz, hip hop, or commercial dance in heels)*Saturdays, 1:00pm-1:45pm - Ballet/Jazz - Age 4-5 (Beginner)Saturdays 1:45pm-2:30pm - Ballet/Jazz - Age 6-7 (Beginner/Intermediate)Saturdays 2:30pm - 3:15pm - Hip Hop - Age 5-10 (Beginner/Intermediate)Saturdays 3:15pm - 4:00pm - Acrobatics/Tumbling - All Ages (Beginner/Intermediate)
Mondays, 7:45pm-8:45pm - Tap (Beginner)Tuesdays, 7:45pm-8:45pm - Tap (Advanced)Wednesdays, 6:45pm-7:45pm - Group Partnership Class (Ballroom; Swing, Two Step, Rumba, Salsa, Disco, etc)Fridays, 6:00-7:30pm - Heels (All Levels, Focus on various styles in jazz, hip hop, or commercial dance in heels)Sundays, 2:00pm-3:00pm - Group Partnership Class (Ballroom; Swing, Two Step, Rumba, Salsa, Disco, etc)Sundays, 1:00pm-2:00pm - Dance Fit/Cardio (Easy to follow dance workout)
COMPETITION TEAM - Opportunities for beginner level dancers, intermediate, or advanced in Solos, Duets, Trios and Group dances. Technique classes and group Choreography is conducted Monday thru Thursday, no Friday or weekend competition technique classes. Weekends are available for Private Lessons. Technique classes are available one, two, or three days a week depending on your age, skill level, and availability. Group Choreography is conducted on Tuesday evenings.

Contact me, I am interested in Competition Team Classes

Billed Monthly - Open Registration

Registration Fee (Not applicable for Adult Classes)

One Time Fee (Holiday Promotion-Waived if register before December 31st)

$99.00 Quantity

Classes Per Week - Billed Monthly

You can combine the number of classes for siblings on one form to receive the 15% discount reflected in pricing below. (Example: If you have two dancers each taking two classes, choose four classes per week)

$350.00

	Quantity	Price
Unlimited Classes Per Week (Billed Monthly)		$350.00
Six Classes Per Week (Billed Monthly)		$300.00
Five Classes Per Week (Biilled Monthly)		$250.00
Four Classes Per Week (Billed Monthly)		$200.00
Three Classes Per Week (Billed Monthly)		$150.00
Two Classes Per Week (Billed Monthly)		$100.00
One Class Per Week (Billed Monthly)		$59.00
Toddler - Age 2-3 (Billed Monthly)		$35.00

Item subtotal:$0.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Bill my card monthly tuition for the above amount shown in total, until written termination is provided by Cardholder. Cardholder agrees all above information is accurate and complete. Cardholder acknowledges that dance classes may be immediately terminated at Grace Unchained Studios discretion if any charges are declined or charge backs are claimed against outstanding amounts owed. Disputes should immediately be reported to info@graceunchainedstudio.com. Chose the day in which you would like payment to come out each month. Recurring charges can be canceled at anytime prior to the start of the month.*

1st of the month5th of the month10th of the monthNot applicable, after initial payment I prefer to pay Online, Cash, or Check on the 1st of the month.
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