Dance Dynamics!

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Forms

2016-2017 FALL REGISTRATION

 

Registration for the fall term is $30.00, plus $20.00 for each additional child in the family.  Please return payment with this form.  Mail to Missy Fincher at the studio, P.O. Box 1031, Tryon, N.C. 28782.  Register early so we can place your child in the correct class.

 

Student’s Name________________________________________Age_______D/O/B___________

 

Address__________________________City__________________State____ZIP_______

 

Years with Dance Dynamics______________________Years of Dance______________

 

Parent’s Name_________________________________Home Phone________________

 

Mothers’s Business Phone__________________Father’s Business Phone____________

 

 

(Check one or More)

 

______Pre-School   _______Tap/Jazz Combo.    ________Ballet    ________Pointe

 

______Clogging      _______Gymnastics              ________Hip Hop   ________Privates

 

______Competition    ________Adult Classes-Tap/Jazz/Clogging/Couples

 

Days Preferred _____________________________Earliest Hour ___________________

 

Days not Preferred ___________________Carpool____________With Whom_________

 

Special Medical Condition_______________________Explain_____________________

 

 

 

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