From Tots to Teens -
We Train to Professional Level
Quakertown Studio (215) 536-6755
Sellersville Studio (215) 257-4121
2024/2025 FALL ENROLLMENT FORM
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ENROLLMENT FORM FOR 2024 - 2025
NAME______________________________________________________ AGE_____
BIRTHDATE_________________________________________
CELL PHONE ______________________________________ ALLERGIES _________________________
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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 $34.00 MUST ACCOMPANY THIS FORM BEFORE AUG. 31, 2024. AFTER AUG, 31, THE REGISTRATION FEE IS $35.00. IF INTERESTED IN GYMNASTICS, AN INSURANCE FEE WILL BE REQUIRED.
PLEASE CHECK THE CLASSES YOU ARE INTERESTED IN:
BALLET ______________ CO, HIP- HOP _______
TAP _________________ 2 YR OLD TOTS CLASS ________
JAZZ / HIP-HOP_______ 3-5 YRS. PRESCHOOL _________
POINTE _____________ 5-6 YRS KINDERGARTEN_______
MODERN ____________
GYMNASTICS _________ SOLO, DUO, TRIO (Please circle) DANCE OR GYMNASTICS
CONTEMPORARY _______ Partner(s) Name(s_________________________
GYM TEAM __________ *TEACHERS WILL BE ASSIGNED FOR ALL PRIVATE CLASSES
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 2024-2025. 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 ________________________________________________________