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 4:30-5:30
Kinder ~ Age 5
Ballet/Tap Thu 5:30-6:30
Jazz Thu 4:30-5:30
Hip Hop Thu 6:30-7:30
L1/L2 ~ Age 6-8
Ballet/Tap Thu 5:30-6:30
Jazz Thu 4:30-5:30
Hip Hop Thu 6:30-7:30
Jazz
Age 5-8 4:30-5:30
Hip Hop

Age 5-7 Thu 6:30-7:30
Age 8-11 Fri 2:30-3:30
Age 11+ Fri 3:30-4:30
Jazzy Poms
Age 12+ Tue 4:00-5:00
Acro
Age 10+ Wed 6:30-7:30
IL 1/2/3 ~ Age 8-10
Ballet Mon 6:00-7:00
Tap Tue 4:00-5:00
Jazz Tue 5:00-5:45
Lyrical/Contemporary Tue5:45-6:30
IL 4/5 ~ Age 11-13
Ballet Mon 5:30-7:00
Lyrical/Contemporary Mon 7:00-7:45
Jazz Mon 7:45-8:30
Tap Wed 4:30 - 5:30
Floor Barre/ Stretch & Strengthen Wed 5:30-6:30
Leaps & Turns Wed 6:30-7:30
Ballet Tech Thu 5:00-6:00
IL 6/7/8 ~ Age 14+
Ballet/Pointe Mon 7:00-8:30
Jazz Tue 5:00-6:00
Lyrical/Contemporary Tue 6:00-7:00
Tap Wed 5:30-6:30
Floor Barre/ Stretch & Strengthen Wed 5:30-6:30
Leaps & Turns Wed 6:30-7:30
Ballet Tech Thu 6:00-7:30
Partnering Thu 7:30-8:30
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:
Please click on the checkbox to continue
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(505) 564 - 3845

2025 Summer Class Registration

Thank you for choosing Mann Dance Academy, Inc.

A $45 annual registration fee per student

is required at registration.