2007 – 2008 Registration Form
Please
use one form per child. Mail this form to the address at the bottom of the
page, or bring it by the center on the day registration. Please include your
check for the tuition and the registration fee of $20.00 per year.
Make
checks payable to Lauren Murray.
All
classes will be filled on a first come, first served basis with priority given
to returning students.
Student’s Name:
______________________________________________________________________________
Parents’ Names:
______________________________________________________________________________
Address:
______________________________________________________________________
City:
_________________________________________________________ Zip: ___________
Home phone:
__________________________Cell phone: ______________________
E-Mail:
________________________________
In case of emergency,
contact: _____________________________________________
Phone:
________________________________
School: _________________________________________2007-2008
Grade: _______________
Date of Birth:
________________________________________ Age: _____________________
2007-2008
will be my _____________ year dancing at the
Please register me for the following class(es):
Class
time preferred:
1.
___9:00 am to 10:00 am _____________________
2.
__10:30 am to 11:30 am _____________________
Tuition
Information:
The
first class you take (1 hour) is regular price: $120.00 per trimester
If
you choose to take 2 hours of class the price is: $180.00 per trimester
Parents
Responsibilities:
- Stay
informed of the rules, regulations, procedures, etc.
- Encourage
student adherence to established rules, regulations, procedures, etc.
- Attend
meetings as required
- Provide
transportation, as needed to ensure that the student arrives on time for
practices and ministry events/opportunities
- Pick
up students ON TIME after practice and events
I
agree to release and discharge the
Parent/Guardian
Signature: ___________________________________ Date: _______________