Fall Dance Registration 2014

Jamie Hays Productions
Registration

Winter/Spring 2015
Name

First NameLast Name
Birth Date

MonthDayYear
Age
Gender
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Session dates: January 12-April 10 (10 week session)

(No Classes February 2-6, and March 23-27)

Tutu Cuties Combo class (ages 3-4) Tuesday's 4:30-5:00pm

Tutu Cuties combo class(ages 3-4) Wednesday's 9:45-10:15 am *Class is full

Dancing Diva's combo class (ages 4-5) Wednesday 9:00-9:45 am

Dancing Diva's Beginning Technique Combo (ages 5-7)Thursdays 3:45-4:30pm

Super Stars Hip Hop/Jazz combo (8+) Thursday 4:30-5:25 pm
Class
Any medical conditions or allergies? Please comment
Tuition
Tuition is due on the first class of the month. No refunds will be given for missed classes. Make-ups can be arranged.
Tuition
Release form:
I hearby release Jamie's School of Dance and all staff and officials from all claims of damages or injury suffered by the above registered student in connection with or by their association with Jamie's School of Dance. This includes my heirs however may not act in my behalf
Signature
Should be Empty:

Jamie Hays Productions