Winter/Spring Dance Registration 2015

Jamie Hays Dance Studio
Registration

Fall 2015
Name

First NameLast Name
Birth Date

MonthDayYear
Age
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Area CodePhone Number
Address

Street Address

Street Address Line 2

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Session dates: August 17-November 13

4-5 (preschool and kindergarten) beginning dance: Tuesday's 4:30-5:00 pm
$25 month

3-5 years (Preschool and kindergarten) Wednesday's 9:45-10:15 am
$25 month

6+ beginning/int dance : Wednesday 9:00-9:45 am
or (ages 5+) Tuesday's 5:00-5:45 pm
$25 month

Intermediate Add on class: Tuesday's 5:45-6:15pm (Must be taking another class as well.)
$15 *This class will learn additional choreography, and more turns/leaps/tricks
Class
Any medical conditions or allergies? Please comment
Tuition
Tuition is due on the first class of the month. No refunds will be given for missed classes. Make-ups can be arranged.
Release form:
I hearby release Jamie's School of Dance and all staff and officials from all claims of damages or injury suffered by the above registered student in connection with or by their association with Jamie's School of Dance. This includes my heirs however may not act in my behalf
Signature
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Jamie Hays Dance Studio