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(After registering online - please submit payment promptly)

STOP !!! If you are under the age of 13, please obtain permission from your parents prior to completing this form.

Information collected from this form is used solely by Springfield Dance, Inc. to register students for classes and to provide students with further information of other activities pertaining to their participation in Springfield Dance, Inc.

Children's Online Privacy Protection Act of 1998

Please provide the following information (* required):
Name *
Birth Date *
Address *
City *
ZipCode *
Home Phone *
Cell Phone
Work Phone
Emergency *
E-mail *
Contact Name *
Referred by
 

Discounts for Multiple Sessions

3 and 4 1 hour / day  for 8 days -- $75.00 / session
Gross Motor Skills
6/03 thru 6/13 9:00am to 10:00am
6/17 thru 6/27 4:30pm  to 5:30pm
7/15 thru 7/25 5:30pm  to 6:30pm
5 and 6 1 hour / day  for 8 days -- $75.00 / session
Gross Motor Skills, Simple Ballet
6/03 thru 6/13 5:00pm to 6:00pm
6/17 thru 6/27 9:00am to 10:00am
7/01 thru 7/11 6:30pm to 7:30pm
7 and 8 1 1/2 hour / day  for 8 days -- $85.00 / session
Ballet and Jazz Combinations
6/03 thru 6/13 6:00pm to 7:30pm
7/01 thru 7/11 9:00am to 10:30am
7/15 thru 7/25 4:00pm to 5:30pm
9 thru 11

2 hour / day  for 8 days -- $95.00 / session
Ballet and Jazz Combinations

6/03 thru 6/13 10:00am  to 12:00pm
6/17 thru 6/27  5:30pm  to 7:30pm
7/01 thru 7/11  4:30pm  to 6:30pm
7 and up

1 hour / day  for 8 days -- $75.00 / session
Acting Clinic

7/15 thru 7/25 9:00am to  10:00am
11 and up

1 hour / day  for 8 days -- $75.00 / session
Dance Hair & Make-Up Clinic

7/15 thru 7/25 10:00am to 11:00am
 

Pointe Level Classes are from 6/03 thru 7/25
(see Fee Schedule below)

Pointe I

11 and up or by placement

Ballet  Monday    6:00pm  to 7:30pm
Tap  Monday    7:30pm  to 8:30pm
Extra Pointe  Wednesday    4:00pm  to 5:00pm
Modern / Jazz Wednesday    5:00pm  to 6:00pm
Ballet Thursday    9:00am  to 10:00am
Hip Hop 1 & 2 Thursday    6:00pm  to 7:00pm
Pointe II 12 and up or by placement
Extra Pointe Monday   4:00pm  to  5:00pm
Jazz / Modern Monday    5:00pm  to 6:00pm
Ballet Tuesday    9:00am  to 10:30am
Ballet Wednesday    6:00pm  to 7:30pm
Tap 2 Wednesday    7:30pm  to 8:30pm
Hip Hop 1 & 2 Thursday    6:00pm  to 7:00pm
Pointe III 12 and up or by placement
Ballet Monday    9:00am  to 10:30am
Ballet Tuesday    4:30pm  to 6:00pm
Modern / Jazz Tuesday    6:00pm  to 7:00pm
Pilates Wednesday    9:00am  to 10:00am
Variations Wednesday    10:00am  to 10:30am
Extra Pointe Thursday    4:00pm  to 5:00pm
Ballet Thursday    9:00am to 10:30am
Adult
Pilates Monday    7:30pm to 8:30pm
Ballet Tuesday    7:00pm  to 8:30pm
Tap Tuesday    7:30pm  to 8:30pm
Aerobics Wednesday    7:30pm  to 8:30pm

There is no classes on July 4th, they will be made up on the 5th.

Summer Tuition
(Pointe and Adult Levels Only)

Tuition is determined by adding the number of hours per week your child is taking class and applying it to the chart below.  Multiple family  members get a $20 discount.  The first payments (1/2 the tuition) is due upon registration (due to very limited space), and the balance is due June 1, 2002.

NO REFUNDS OR CREDITS FOR MISSED CLASSES.
Make-up lessons may be arranged by calling the studio.

Hours / Week Fee
1 Hour $70
1 1/2 Hours $80
2 Hours $90
2 1/2 Hours $100
3 Hours $110
3 1/2 Hours $120
4 Hours $130
Hours / Week Fee
4 1/2 Hours $140
5 Hours $150
5 1/2 Hours $160
6 Hours $170
6 1/2 Hours $180
Individual Unlimited $190
Family Unlimited $250


A $10.00 fee will be charged for returned checks, and second offenders must pay cash.  Make checks payable to Springfield Dance.

This Page was last updated - Monday, March 10, 2003 07:49:42 AM
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