Summer Class Registration

Parent/Guardian
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Email Address
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Primary Phone Number
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Secondary Contact Name
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Secondary Contact Phone Number
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Mailing Address
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Zip Code
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Student Name
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Student Date of Birth
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Does your child have any disabilities we should be aware of?
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Pre1/Pre2 (age 3 & 4)

Ballet/Tap: Wed 5:30-6:30
Kinder (age 5)
Ballet/Tap: Wed 6:30-7:30
Hip Hop: Thu 4:30-5:30
L1/L2 (age 6 & 7)
Ballet/Tap: Wed 6:30-7:30
Hip Hop: Thu 4:30-5:30
Hip Hop

Age 5-7 Thu 4:30-5:30
Age 8-10 Thu 5:30-6:30
Age 11-17 Tue 6:00-7:00
Jazzy Poms
Age 11-17 Tue 7:00-8:00
Musical Theater
Age 12+ Tue 8:00-9:00
IL 1/2
Ballet: Mon 4:00-5:00
Lyrical/Contemporary: Mon 5:00-6:00
Jazz: Tue 4:30-5:15
Tap: Tue 5:15-6:00
Hip Hop: Thu 5:30-6:30
IL3
Ballet: Mon 4:00-5:00
Lyrical/Contemporary: Mon 5:00-6:00
Jazz: Tue 4:30-5:15
Tap: Tue 5:15-6:00
Hip Hop: Thu 5:30-6:30
IL 4
Ballet Mon 5:30-7:00
Lyrical/Contemporary Mon 7:00-7:45
Jazz Mon 7:45-8:00
Tap Tue 4:00-5:00
Hip Hop: Tue 6:00-7:00
Jazzy Poms: Tue 7:00-8:00
Musical Theater: Tue 8:00-9:00
Ballet Tech Thu 6:30-7:30
IL 5
Ballet/Pre-Pointe Mon 5:30-7:00
Lyrical/Contemporary Mon 7:00-7:45
Jazz Mon 7:45-8:00
Tap Tue 4:00-5:00
Hip Hop: Tue 6:00-7:00
Jazzy Poms: Tue 7:00-8:00
Musical Theater: Tue 8:00-9:00
Floor Barre Wed 5:00-6:00
Leaps & Turns Wed 6:00-7:00
Ballet Tech Thu 6:30-7:30
IL 6
Ballet/Pointe Mon 5:30-7:00
Lyrical/Contemporary Mon 7:00-7:45
Jazz Thu 7:45-8:30
Tap Tue 4:00-5:00
Hip Hop: Tue 6:00-7:00
Jazzy Poms: Tue 7:00-8:00
Musical Theater: Tue 8:00-9:00
Floor Barre Wed 5:00-6:00
Leaps & Turns Wed 6:00-7:00
Ballet Tech Thu 7:30-9:00
IL 7
Ballet/Pointe Mon 7:00-8:30
Tap Tue 5:00-6:00
Jazz Tue 6:00-7:00
Lyrical/Contemporary Tue 7:00-8:00
Musical Theater: Tue 8:00-9:00
Floor Barre Wed 5:00-6:00
Leaps & Turns Wed 6:00-7:00
Ballet Tech Thu 7:30-9:00
IL 8
Ballet/Pointe Mon 7:00-8:30
Tap Tue 5:00-6:00
Jazz Tue 6:00-7:00
Lyrical/Contemporary Tue 7:00-8:00
Musical Theater: Tue 8:00-9:00
Floor Barre Wed 5:00-6:00
Leaps & Turns Wed 6:00-7:00
Ballet Tech Thu 7:30-9:00
Paypal
Registration Fee
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$45 per student annual registration fee good from June to May is required with the registration form.
Photograph/Videography Consent
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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
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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
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Date
How did you hear about us?
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Who do we have to thank for the referral?
Comments or questions:
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(505) 564 - 3845

2024 Summer Class Registration

June 24th - August 2nd

Thank you for choosing Mann Dance Academy, Inc.

A $45 annual registration fee per student

is required at registration.