DANCE DYNAMICS FALL REGISTRATION FORM 2011-2012
(please fill out one form per child)
Student’s Name_____________________________Age_______B-Day__________
Parent/Gardian’s Name(s)______________________________________________
Mailing Address________________________________________________________
City___________________________________State________Zip_________________
Phone Number(s)
HOME_____________________CELL_____________________WORK____________________
E-Mail Address__________________________________________________________________
***************************************************************************************************************
Please circle which class(es) you wish to register for:
(Class sizes are limited, so for class times and availability, please call the studio
at 402-932-9805.)
Basic Movement(ballet/tap/tumbling)(ages3-4)(40 min.)
Level A(ballet/tap)(ages 4 ½-5)(50 min.)
Level B(ballet/tap)(ages 5 ½-6)(1 hr.)
Level C(ballet/tap/jazz)(ages 6 ½-7)(1 hr. 15 min.)
Ballet (ages 7 and up)(1 hr.)
Tap(ages 7 and up)(40 min.)
Jazz(ages 7 and up)(must be enrolled in ballet)(40min. - 1 hr.)
LyricalContemporary(ages 7 and up)(must be enrolled in ballet and jazz)(40 min. - 1 hr.)
Clogging(ages 5 and up)(40 min.)
Hip Hop(ages 6 1/2 and up)(40 min.)
Theatre Dance(ages 5 and up)(40 min.)
Pointe(invitation only)(must be enrolled in ballet)(40 min.)
Pre-Pointe(ages 10 and up)(must be enrolled in ballet)(40 min.)
Ballet Barre(ages 7 and up)(this class will not participate in the Spring Performance)(40 min.)
Turns & Leaps(ages 7 and up)(this class will not participate in the Spring Performance)(40 min.)
Stretching & Strengthening(7 and up)(this class will not participate in the Spring Performance)(40 min.)
Ballet Intensive(ages 7 and up)(this class will not participate in the Spring Performance)(1hr. 15min.)
Adult Clogging(40 min.)
PLEASE COMPLETE THIS FORM AND MAIL IT IN WITH YOUR $20 NON-REFUNDABLE
REGISTRATION FEE TO:
Dance Dynamics * 1236 Royal Drive * Papillion, NE 68046 * 402.932.9805
(please fill out one form per child)
Student’s Name_____________________________Age_______B-Day__________
Parent/Gardian’s Name(s)______________________________________________
Mailing Address________________________________________________________
City___________________________________State________Zip_________________
Phone Number(s)
HOME_____________________CELL_____________________WORK____________________
E-Mail Address__________________________________________________________________
***************************************************************************************************************
Please circle which class(es) you wish to register for:
(Class sizes are limited, so for class times and availability, please call the studio
at 402-932-9805.)
Basic Movement(ballet/tap/tumbling)(ages3-4)(40 min.)
Level A(ballet/tap)(ages 4 ½-5)(50 min.)
Level B(ballet/tap)(ages 5 ½-6)(1 hr.)
Level C(ballet/tap/jazz)(ages 6 ½-7)(1 hr. 15 min.)
Ballet (ages 7 and up)(1 hr.)
Tap(ages 7 and up)(40 min.)
Jazz(ages 7 and up)(must be enrolled in ballet)(40min. - 1 hr.)
LyricalContemporary(ages 7 and up)(must be enrolled in ballet and jazz)(40 min. - 1 hr.)
Clogging(ages 5 and up)(40 min.)
Hip Hop(ages 6 1/2 and up)(40 min.)
Theatre Dance(ages 5 and up)(40 min.)
Pointe(invitation only)(must be enrolled in ballet)(40 min.)
Pre-Pointe(ages 10 and up)(must be enrolled in ballet)(40 min.)
Ballet Barre(ages 7 and up)(this class will not participate in the Spring Performance)(40 min.)
Turns & Leaps(ages 7 and up)(this class will not participate in the Spring Performance)(40 min.)
Stretching & Strengthening(7 and up)(this class will not participate in the Spring Performance)(40 min.)
Ballet Intensive(ages 7 and up)(this class will not participate in the Spring Performance)(1hr. 15min.)
Adult Clogging(40 min.)
PLEASE COMPLETE THIS FORM AND MAIL IT IN WITH YOUR $20 NON-REFUNDABLE
REGISTRATION FEE TO:
Dance Dynamics * 1236 Royal Drive * Papillion, NE 68046 * 402.932.9805
