2021-2022 Class Registration

Parent/Guardian
*
Mailing Address
*
City, State
*
Zip Code
*
Email Address
*
Primary Phone Number
*
Secondary Contact Name
*
Secondary Contact Phone Number
*
Student Name
*
Student Date of Birth
*
Does your child have any disabilities we should be aware of?
*
Pre 1 (age 3): Ballet/Tap Combo

Wed 5:30-6:30
Sat 9:30-10:30
Pre 2 (age 4): Ballet/Tap Combo
Wed 5:30-6:30
Sat 9:30-10:30
Kinder (age 5): Ballet/Tap Combo
Thu 4:00-5:00
Fri 3:30-4:30
Sat 9:30-10:30
L1 (age 6): Ballet/Tap Combo
Thu 4:00-5:00
Fri 3:30-4:30
Sat 9:30-10:30
L2 (age 7): Ballet/Tap Combo
Thu 4:00-5:00
Hip Hop

Age 6-8 Fri 4:30-5:30
Age 8-10 Wed 5:30-6:30
Age 10-12 Fri 5:30-6:30
Acting
Age 10-14 Wed 4:30-5:30
Musical Theater
Age 10-15 Tue 8:00-9:00
IL 1
Ballet: Tue 4:00-5:00
Lyrical/Contemporary: Tue 5:00-6:00
Jazz: Thu 5:00-5:45
Tap: Thu 5:45-6:30
IL 2
Ballet: Tue 4:00-5:00
Lyrical/Contemporary: Tue 5:00-6:00
Jazz: Thu 5:00-5:45
Tap: Thu 5:45-6:30
IL 3
Ballet: Mon 5:00-6:00
Lyrical/Contemporary: Mon 6:00-7:00
Ballet Tech: Thu 5:00-6:00
Jazz: Fri 4:00-4:45
Tap: Fri 4:45-5:30
IL4
Ballet: Mon 5:00-6:00
Lyrical/Contemporary: Mon 6:00-7:00
Musical Theater: Tue 8:00-9:00
Ballet Tech: Thu 5:00-6:00
Jazz: Fri 4:00-4:45
Tap: Fri 4:45-5:30
IL 5
Lyrical/Contemporary: Mon 6:00-7:00
Ballet/Pre-Pointe: Mon 7:00-8:30
Musical Theater: Tue 8:00-9:00
Floor Barre: Wed 6:30-7:00
Ballet Tech: Thu 5:00-6:00
Jazz: Fri 4:00-4:45
Tap: Fri 4:45-5:30
IL 6
Ballet/Pointe: Mon 4:30-6:00
Tap: Tue 4:45-5:30
Jazz: Tue 6:00-7:00
Lyrical/Contemporary: Tue 7:00-8:00
Musical Theater: Tue 8:00-9:00
Floor Barre: Wed 6:30-7:00
Ballet Tech: Thu 6:00-7:30
Pointe Tech: Sat 10:30-11:30
Partnering: Sat 11:30-12:30
IL 7
Ballet/Pointe: Mon 6:00-7:30
Tap: Tue 4:45-5:30
Jazz: Tue 6:00-7:00
Lyrical/Contemporary: Tue 7:00-8:00
Musical Theater: Tue 8:00-9:00
Floor Barre: Wed 6:30-7:00
Ballet Tech: Thu 6:00-7:30
Pointe Tech: Sat 10:30-11:30
Partnering: Sat 11:30-12:30
IL 8
Ballet/Pointe: Mon 7:30-9:00
Tap: Tue 5:30-6:30
Jazz: Wed 6:30-8:00
Lyrical/Contemporary: Wed 8:00-9:00
Floor Barre: Wed 6:30-7:00
Ballet Tech: Thu 7:30-9:00
Pointe Tech: Sat 10:30-11:30
Partnering: Sat 11:30-12:30
Adult
Ballet Tue 10:30-12:00
Paypal
Registration Fee
*

$45 per student annual registration fee good from June to May is required with the registration form. If the fee has been paid for the year it will be applied to the first month's tuition
Photograph/Videography Consent
*

I DO give permission for photography/videography of my child for use in advertising and/or display purpose. I am willing to release said media into public domain and understand that no monetary compensation will be given for the use of said media.
Parental Consent
*
I herein release my child to participate in dance class and will not hold Mann Dance Academy, Inc. liable for any injury they might incur.
Typed Signature
*
Date
Comments or questions:

2021-2022 Registration

Thank you for choosing Mann Dance Academy, Inc.

Annual Registration Fee is due when registering.
($45 per student annual registration fee is good from June to May.

If the fee has been paid for the year it will be applied to the first month's tuition)