2011-2012 Registration
**Tap*Ballet*Jazz*Acrobatics*Clogging*Hip-Hop*Pom Pom
Complete
Registration Form/Policy Letter
(Signed) and return with $30.00 registration fee to:
Miss
Tammy’s
For more
information call 712-485-2678 or check the web at
www.misstammysschoolofdance.com.
Student’s Name
_________________________________________________________Age__________Birthdate__________
M_____ F_____ Year’s of
experience ____________________________________
Student’s Name
_________________________________________________________Age__________Birthdate__________
M_____ F_____ Year’s of
experience ____________________________________
Student’s Name
_________________________________________________________Age__________Birthdate__________
M_____ F_____ Year’s of
experience ____________________________________
Parent’s Name
_____________________________________________________________________
Billing Address
____________________________________________________________________
_____________________________________________________________________
Phone: Home
________________________Mother’s Work ______________________ Ext. _______
Cell Phone ___________
Father’s Work
________________________ Ext. _________ Cell Phone ___________________
E:Mail __________________
Types of classes offered:
(please check class or
classes)
Day/Time
3 year olds - ballet/acro combo 45 min. _____ _______
4 year olds - ballet/tap/acro/ combo 1 hour ______ _______
5-7 year olds - ballet/tap combo 1 hour ______ _______
8-10 year olds - jazz/tap combo 1 hour ______ _______
13 year olds - jazz/tap combo 1 hour ______ _______
13 and up - jazz/tap combo 1 hour ______ _______
8 and up - lyrical 45 min. _____ _______
5 and up -
clogging
45 min. _____
_______
5 and up -
acrobatics
45 min. _____
_______
5-8 years old - pom pom 45 min. _____ _______
9 and up - pom pom 45 min. _____ _______
8-11 year olds -
hip-hop
45 min. _____
_______
12 and up -
hip-hop
45 min. _____
_______
Adults
clogging &/or hip-hop
45 min. _____
_______
** $35.00 / 45 minute class/month, $38.00 / 1 hour class / month
plus tax
** 10% off for 2 family members or classes taken, 15% off for 3, 20%
for 4 or more (not applicable with a combo and clogging class)
** $15.00 off Clogging Class when same student is taking a 1-hour
Combo or 45 min Ballet Class/Combo
and Clogging Class = 1
hour 45 minutes = $58.00/month
plus tax
Signature of Parent or
Guardian:
_____________________________________________________________________________
**30.00 REGISTRATION fee due upon turning in Registration Form**
** TUITION due by 1st of every month (see policy letter)**
NOTE:
TUITION AND REGISTRATION FEE IS NON-REFUNDABLE
NOTE: TUITION AND REGISTRATION FEE IS NON-REFUNDABLE
