Form

CONTACT INFORMATON:

Xtreme Cheer & Dance

1015 Commerce Street

Mitchell, SD 57301

(605) 770-8803

tloecker@mit.midco.net

CHEER OR DANCE

PRIVATE LESSONS

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Best Value Option

Buy 7, get 8th one FREE

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Half Hour Pricing

Individual - $30

Buddy (2 athletes) - $25/each

Friends (3 -5 athletes) - $20/each

One Hour Pricing

Individual - $60

Buddy (2 athletes) - $50/each

Friends (3 -5 athletes) - $40/each

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Please contact Traci if you would like pricing on a class for more than 5 athletes.

All private lessons will be ran through Xtreme Cheer & Dance.

All lessons include one experienced coach of your choice and a detailed description of what is being taught, skills learned and homework.

Rates are effective as of December 2, 2017.

All monies paid are non-refundable.

If you purchase 8 sessions at one time, you get the 8th one free. Use the BEST VALUE OPTION at Checkout.

You do not need to be a member of Xtreme Cheer & Dance, however, we do need a signed waiver on file from each athlete and parent.

REGISTRATION

Athlete Name *

First Name Last Name

Athlete Name

First Name Last Name

Athlete Name

First Name Last Name

Athlete Name

First Name Last Name

Athlete Name

First Name Last Name

Contact Name (Must be 18 years or older) *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Contact Email for this group (must be 18 years or older) *

Contact Cell Number *

- Area Code Phone Number

Are you registered with Xtreme Cheer & Dance? *

Yes No In the Process

Please pick the coach of your choice

Taylor Davis-Bohr (Cheer Only) Katelynn Ellsworth (Cheer & Dance) Alyssa Ketcham (Cheer Only) Haley Lund (Cheer Only) Stephanie Head (Cheer Only) Chassidy Songer (Cheer Only) Doesn't matter to me. Whoever you think is best!

ORDER ONLINE BELOW!

Payment: *

1/2 Hour Pricing

1/2 Hour Group Rates	Price	Number of Athletes
Individual	$ 30.00
Buddy (Must have 2 athletes)	$ 25.00
Friends (Must have 3-5 athletes)	$ 20.00

Item subtotal: $ 0.00

1 Hour Pricing

1 Hour Group Rates	Price	Number of athletes
Individual	$ 60.00
Buddy (Must be 2 athletes)	$ 50.00
Friends (Must be 3 or more athletes)	$ 40.00

Item subtotal: $ 0.00

1/2 Hour Lessons Purchase 7 lessons, receive 8th one free

1/2 Hour Pricing	Price	# of athletes
Individual	$ 210.00
Buddy (Must have 2 athletes)	$ 175.00
Friends (Must have 3-5 Athletes)	$ 140.00

Item subtotal: $ 0.00

1 Hour Lessons Purchase 7 lessons, receive 8th one free 2

1 Hour Pricing	Price	# of athletes
Individual	$ 420.00
Buddy (Must have 2 athletes)	$ 350.00
Friends (Must have 3-5 Athletes)	$ 280.00

Item subtotal: $ 0.00

Total $ 0.00