Burton Ballet Company Fall Schedule and Registration Form

Burton Ballet Company Fall Schedule and Registration Form

ONLINE CLASS SCHEDULE
Monday
4:15-5:00	Beg/Int Hip Hop 5-7	Miss Julia
5:00-6:00	Int/Adv Hip Hop 8 and up	Miss Julia
6:00-6:45	Intermidiate Jazz and up	Miss Julia
6:45-7:30	Advanced Tap 8 and up	Miss Julia
Tuesday
4:15-5:00	Pre-K Ballet	Miss Christina
5:00-6:00	Kindergarten Combo (Ballet and Tap)	Miss Christina
6:00-7:00	Elementary Combo (Ballet and Lyrical)	Miss Christina
7:00-8:00	Advanced Ballet 8 and Up	Miss Christina
Wednesday
4:15-5:15	Elementary Combo (Ballet and Tap)	Miss Julia
5:15-6:00	Beginner Acro	Miss Julia
6:00-7:00	Intermediate Ballet 8 and Up	Miss Julia
7:00-8:00	Advanced Acro	Miss Julia
Thursday
4:00-6:15	Competition	Miss Christina
6:15-7:00	Clogging 1	Miss Paulina
6:45-7:15	Clogging 2	Miss Paulina
7:15-8:00	Advanced Clogging	Miss Paulina

Student Information
Name

First NameLast Name
Age*
Gender

MaleFemale
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does the student have any special needs or need any accommodations that we should know about??
Parent/Guardian Information

For minors (below 18 years of age)
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Relationship
Miscellaneous
How do you learn about this online dance class?

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Do you want to add enroll more students?

YesNo
Additional students
Registration and Tuition Information

Price is per month
Registration
prevnext( X )
Beg/ Int Hip Hop 5-7$45.00

Quantity

Int/Adv Hip Hop 8 and up$45.00

Quantity

Advanced Tap 8 and up$45.00

Quantity

Advanced Jazz 8 and Up$45.00

Quantity

Pre K Ballet$45.00

Quantity

Kindergarten Combo$55.00

Quantity

Elementary Combo (Tuesday)$55.00

Quantity

Advanced Ballet 8 and Up$55.00

Quantity

Elementary Combo (Wednesday)$55.00

Quantity

Beginner Acro$45.00

Quantity

Intermediate Ballet 8 and Up$45.00

Quantity

Int/ Advanced Acro$45.00

Quantity

Competition$55.00

Quantity

Clogging 1$45.00

Quantity

Clogging 2$45.00

Quantity

Advanced Cloggingg$45.00

Quantity

Total $0.00
Payment Method

CashCredit CardCheckOther
Signature of Student

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Date Signed

MonthDayYear
Date
Parent/guardian Name

First NameLast Name
Parent/guardian Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Burton Ballet Company Fall Schedule and Registration Form

Student Information

Parent/Guardian Information

Miscellaneous

Registration and Tuition Information