Fall Registration

Parent/Guardian:
*
Address:
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Cell #:
*
Home #:
*
Work #:
Email Address:
*
Student's Name:
*
Student's Date of Birth
*
Does your child have any disabilities I should be aware of?
Pre-1 Age 3: Ballet/Tap Combo

Tue 10:30-11:30 Show 1
Wed 4:00-5:00 Show 2
Sat 9:30-10:30 Show 3
Pre-2 Age 4: Ballet/Tap Combo
Tue 10:30-11:30 Show 1
Wed 4:00-5:00 Show 2
Thu 5:00-6:00 Show 1
Sat 9:30-10:30 Show 3
Kinder Age 5: Ballet/Tap Combo
Thu 5:00-6:00 Show 1
Fri 3:30-4:30 Show 1

Sat 9:30-10:30 Show 3
L1-1st Grade: Ballet/Tap Combo
Wed 5:00-6:00 Show 2
Fri 3:30-4:30 Show 1
Sat 9:30-10:30 Show 3
L2 - 2nd Grade: Ballet/Tap Combo
Wed 5:00-6:00 Show 2
Sat 10:30-11:30 Show 3
L3 - 3rd Grade: Ballet/Tap Combo
Sat 10:30-11:30 Show 3
Ages 6-8: Hip Hop/Tumbling
Fri 4:30-5:30 Show 1
Hip Hop
Beg./Int.: Wed 6:00-7:00 Show 2
Int./Adv.: Tue 3:45-4:45 Show 1
Tumbling
Adv.: Wed 6:30-7:30 Show 1
IL1
Ballet: Tue 3:45-4:45 Show 1
Modern: Tue 4:45-5:30 Show 1,2
Jazz: Fri 4:00-4:45 Show 1,2
Tap: Fri 4:45-5:30 Show 1,2,3
IL2
Ballet: Tue 3:45-4:45 Show 1
Modern: Tue 4:45-5:30 Show 1,2
Jazz: Fri 4:00-4:45 Show 1,2
Tap: Fri 4:45-5:30 Show 1,2,3
IL3
Modern/Lyrical: Mon 6:00-7:00 Show 1,2
Ballet: Tue 5:30-6:30 Show 2,3
Ballet Tech: Thu 4:30-6:00
Jazz: Thu 6:00-6:45 Show 1,2
Tap: Thu 6:45-7:30 Show 1,2,3
IL4
Ballet: Mon 4:30-6:00 Show 1,2,3
Modern/Lyrical: Mon 6:00-7:30
Ballet Tech:Thu 4:30-6:00
Jazz: Thu 6:00-6:45 Show 1,2
Tap: Thu 6:45-7:30 Show 1,2,3
IL5
Ballet/Pointe: Mon 4:30-6:00 Show 1,2,3
Tap: Tue 4:45-5:30 Show 1,2,3
Modern/Lyrical: Tue 6:30-8:00 Show 1,2
Ballet Tech: Thu 6:00-7:30
Jazz: Thu 7:30-8:30 Show 1,2
Point Tech: Sat 10:30-12:00
IL6
Ballet/Pointe: Mon 7:00-8:30 Show 1,2,3
Tap: Tue 4:45-5:30 Show 1,2,3
Modern/Lyrical: Tue 6:30-8:00 Show 1,2
Ballet Tech: Thu 6:00-7:30
Jazz: Thu 7:30-8:30 Show 1,2
Pointe Tech: Sat 10:30-12:00
IL7
Ballet/Pointe: Mon 7:30-9:00 Show 1,2,3
Tap: Tue 5:30-6:30 Show 1,2,3
Modern: Tue 6:30-8:00 Show 1,2
Jazz: Tue 8:00-9:00 Show 1,2
Lyrical: Wed 7:30-9:00 Show 1,2
Ballet Tech: Thu 7:30-9:00
Pointe Tech: Sat 10:30-12:00
IL8
Ballet/Pointe: Mon 7:30-9:00 Show 1,2,3
Tap: Tue 5:30-6:30 Show 1,2,3
Modern: Tue 6:30-8:00 Show 1,2
Jazz: Tue 8:00-9:00 Show 1,2
Lyrical: Wed 7:30-9:00 Show 1,2
Ballet Tech: Thu 7:30-9:00
Pointe Tech: Sat 10:30-12:00
IL5/6/7/8: Partnering
Sat 12:00-1:00: Criteria for Partnering: All girls must weigh 115 lbs. or less. Must be enrolled and attending Ballet/Pointe, Ballet Tech and Pointe Tech.
$45.00 Registration Fee
*
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.
Account Statement:
*

Statements are emailed on the 28th of the month. Accounts are due on the 1st of the month. A $15 late fee will be applied to any account that has a balance on the 15th of the month.
Photography/Videography Consent:
*

I Do give permission for photography/videography of my child for use in advertising and/or display purposes. 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(es) and will not hold Mann Dance Academy, Inc. liable for any injury they might incur.
Typed Signature:
*

2018-2019 Class Registration

September 2018 through May 2019

Thank you for choosing Mann Dance Academy, Inc.!!

The Annual Registration Fee and

First Month's Tuition is due when registering.

A $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.