Nardi Dance Studios/2012 Summer Registration Form (One form per student)-Please print out from website and mail to studio Parents Name:_________________________________________________________________________ Participant’s First Name:___________________Last Name:______________________________Age:______ Birth Date: _______ Gender: _____ Phone#:___________________ E-mail:__________________________ Address:__________________________________City:_________________ State:_____ Zip:__________ Years of dance experience: _____ Level completed in June:__________________________________________ Present dance school: ____________________________________________________________________ PLEASE SELECT THE CLASSES YOU WISH TO ENROLL IN BY WRITING IN THE COST ON THE LINE.
CLASS
Week 1
Introduction to Pre-Dance Ballet, Tap, Tumbling $20 ( 2 Classes)
$_______ Aug 14,16
$_______ Aug7,9
$_______ Aug 14,16
$_______ Aug7,9
$_______ Aug 14,16
$_______ Aug 8
$_______ Aug 13,15
$_______ Aug 6,8
$_______ Not Available
$_______ Not Available
$_______ Aug 13,15
$_______ Aug 8
$_______ Aug 15
$_______ Aug 6
$_______ Aug 13
$_______ Aug 8
$_______ Aug 13
$_______ Aug 9
$_______ Not Available
$_______Not Available
$_______Aug 16
$_______ Aug 9
$_______ Aug 14
$_______ Aug 7
$_______ Not Available
$_______ Aug 7
$_______ Aug 16
$_______ Aug 7
$_______ Aug 14
$_______ Aug 9
$_______ Aug 16
$_______ Not Available
$_______ Aug 13,16
$_______Not Available
$_______Aug 16
Pre-Dance I & II
Ballet, Tap, Jazz, Tumbling (2 CLASSES) $30 Mini Broadway Kids (2 CLASSES) $15
Not available
Week 2
Youth Level Broadway Kids $10 Ballet & Tap (2 CLASSES) $20 Ballet/Tap & Jazz (2 CLASSES) $30 Tricks, Splits & Jumps $10 Hip Hop $10
Extended Beginner Hip-‐Hop $10 Pop Ballet $10 Pointe I/II $10 Jazz $10 Broadway $10 Tap $10 Intro to Contemporary/Modern & Lyrical $15 Ultimate Turns & Leaps $10 Flexibility Class (2 CLASSES) $20 Choreography Class $10
CLASS
Week 1
Extended Intermediate Hip Hop $10 Pop Ballet $10 Pointe Int/Jr. $10 Pointe I/II $10 Jazz $10 Broadway $10 Fosse Style Broadway $10 Theater Audition & Tips $10 Tap $10 Contemporary $10 Modern $10 Lyrical $10 Ultimate Turns & Leaps $10 Flexibility Class (2 CLASSES) $20 Choreography Class $10
Week 2
$_______Aug 8
$_______ Not Available
$_______ Aug 15
$_______ Not Available $_______ Not Available
$_______ Aug 15 $_______ Aug 16
$_______ Aug 8
$_______ Aug 14
$_______ Aug 8
$_______ Not Available
$_______ Not Available
$_______ Aug 14
$_______ Not Available
$_______ Aug 15
$_______ Aug 6
$_______ Aug 13
$_______ Aug 6
$_______ Aug 16
$_______ Aug 8
$_______ Aug 15
$_______Aug 6
$_______Aug 13
$_______ Aug 6
$_______ Aug 16
$_______Not Available
$_______Aug 13, 16
$_______Not Available
$_______Aug 16
Hip Hop $15 Pop Ballet $10 Pointe Int/Jr. $10 Jazz (2 CLASSES) $30 Broadway $15 Fosse Style Broadway (2 CLASSES) $25 Theater Audition & Tips $15 Tap $10 Contemporary (2 CLASSES)$30 (1 CLASS) $15 Modern $10/$15 ($25 for both) Lyrical $10 Ultimate Turns & Leaps (2 CLASSES) $30 Choreography Class
$_______ Aug 8
$_______ Not Available
$_______ Aug 8
$_______ Aug 15
$_______ Not Available
$_______ Aug 15
$_______ Aug 6,7
$_______ Aug 15,16
$_______ Aug 8
$_______ Aug 14
$_______ Not Available
$_______Aug 13,16
Not available
$_______ Aug 15
$_______ Aug 6
$_______ Aug 13
$_______ Aug 6,7
$_______ Aug 14
$_______ Aug 9
$_______ Aug 14
$_______Aug 9
$_______Aug 13
$_______ Aug 7,9
$_______ Aug 16
$_______Not Available
$_______Aug 16
$_________________
$________________
Advanced
$_______ Aug 13
TOTALS
GRAND TOTAL
$_________________
Payment Total: $___________ Check#: ___________ Cash (
) Date: ________ Received by:_________
