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V o t e d   B e s t   D a n c e   S t u d i o !  

C e l e b r a t i n g   3 8   Y e a r s !   

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                                                          For Office Use Only

                        Registration _____ Ck.# ______

                   Insurance ______  Ck.# ______

                            Sept. _____ Ck.# ______          

          


NAME______________________________________________________ AGE_____ BIRTHDATE________________


HOME PHONE ________________CELL PHONE ___________________ ALLERGIES _________________________

.

ADDRESS ______________________________________________________________________________________


CITY/STATE/ZIP _________________________________________________________________________________


PARENT'S NAME ________________________________________________________________________________


PLEASE SUBMIT YOUR EMAIL ADDRESS TO OUR WEBSITE @ www.misscindysschoolofdance.com TO RECEIVE THE MONTHLY NEWSLETTERS.  


A REGISTRATION FEE OF $27.00 MUST ACCOMPANY THIS FORM BEFORE JULY 31, 2018.  AFTER JULY 31, THE REGISTRATION FEE IS $28.00.  IF INTERESTED IN GYMNASTICS, AN INSURANCE FEE WILL BE REQUIRED.


PLEASE CHECK THE CLASSES YOU ARE INTERESTED IN:


BALLET ____________               GYM TEAM  __________                                        

                                   

TAP _______________               TUMBLING & MINI TRAMP ______                                                       


JAZZ / HIP-HOP________                  2-3 YRS. TOT PROGRAM _______


POINTE ____________               3-5 YRS. PRESCHOOL _________


MODERN ___________                 5-6 YRS  KINDERGARTEN_______     


GYMNASTICS ________                 MODELING COURSE _____________                           

               

TOT GYMNASTICS                      VOCAL ___________                                           

  2- 3 YRS., MOMMY & ME                 

      ___________                                SOLO, DUO, TRIO (Please circle)  DANCE OR GYMNASTICS ____________                              

                                                         Partner(s) Name(s__________________________

CO, HIP- HOP  _______

                           *TEACHERS WILL BE ASSIGNED FOR ALL PRIVATE CLASSES

PIANO __________                           You may not request a teacher.


ANY STUDENT PAYING A FULL YEARS TUITION IN ADVANCE WILL RECEIVE JUNE TUITION AT ½ THE PRICE.  ANY CHILD BRINGING A NEW STUDENT WILL RECEIVE A FREE REGISTRATION FOR 2018-2019.  PLEASE SEND FORMS STAPLED TOGETHER TO RECEIVE FREE REGISTRATION. PLEASE RETURN THIS FORM AS SOON AS POSSIBLE EITHER TO YOUR CLASS OR BY MAIL. THANK YOU.


PHOTO WAVIER: I CONSENT FOR MY CHILD TO BE USED IN PHOTOS OR VIDEOS ON FUTURE PRINT WORK FOR MISS CINDY'S SCHOOL OF DANCE.  YES _____   NO_____  


I understand that all tuition and fees are non-refundable. No refund for missed classes or withdrawal for any reason.


PARENT'S SIGNATURE ________________________________________________________


ENROLLMENT FORM

2018 / 2019

Print form, complete and submit

Register

We do not have class schedules on the web site and parents should call 215-536-6755 for times. We register each child individually.

ENROLLMENT FORM

2018 / 2019

Print form, complete and submit