Registration Form Carthage 2025 spring

Registration Form

62 South Madison Street, Carthage, Illinois 62321
Parent/Guardian Name

First NameLast Name
Email
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Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do any participants have medical conditions or special needs?
SUMMER 2025 SCHEDULE
May (13, 20 & 27) fee $25

5:00–5:30 PM – Mommy & Me Dance/Tumbling (ages 2–4)

5:30–6:00 PM – Grateful Movement (All ages, no fee)

6:00–6:45 PM – Line Dancing (All ages)

6:45–7:30 PM – Clogging (Adults)

June (10, 17 & 24) fee $25

5:00–5:30 PM – Tumbling I

5:30–6:00 PM – Tumbling II

6:00 PM – Tumbling III & IV

6:45 PM – Clogging (Adults)

Camps July (8, 15 & 22)

fee $45

July 8 – Once Upon a Dance (Ballet & Jazz)

July 15 – Dance Through the Decades (Hip Hop & Tap)

July 22 – Glow Party (Clogging & Tumbling)

5:00–5:45 PM – Ages 4–7

5:45–6:30 PM – Ages 8–12

6:30–7:15 PM – Ages 13+

7:15–8:00 PM – Clogging (Regular Adult Class)
DANCER/TUMBLER #1 - NAME, AGE & CLASSES ENROLLING IN
DANCER/TUMBLER #2 - NAME, AGE & CLASSES ENROLLING IN
DANCER/TUMBLER #3 - NAME, AGE & CLASSES ENROLLING IN
DANCER/TUMBLER #4 - NAME, AGE & CLASSES ENROLLING IN
DANCER/TUMBLER #5 - NAME, AGE & CLASSES ENROLLING IN
Please check the studio white board and our private Facebook group to stay up to date with information. In case of an emergency closing it will be posted on our Facebook group. We will send out a text/instant message to anyone that does not acknowledge they have read the post. I understand that there are specific risks of physical or property damages, losses, or injury that may result from my or my child’s participation with Celebration School of Dance, and I voluntarily assume the risks associated with such participation. I acknowledge and consent to allow Celebration School of Dance to use: photos and/or videos of my child/me in publications (such as flyers/brochures), advertisements, the studio’s website, or social media sites. Tuition fees are due at the first class of each month. I understand that Celebration School of Dance does not give credit and/or refunds for classes missed due to holiday, vacation, illness, weather, etc.

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Registration Form

SUMMER 2025 SCHEDULE

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