Stoneleigh-Burnham School -> Discover SBS -> Community Offerings -> Community Dance -> Community Dance Registration Form

Community Dance Registration Form

I would like to register for the following Community Dance classes(s): (please enter the number 1 next to the programs for which you are registering)

Ballet I/II (Ages 5 - 7) - THIS CLASS IS FULL

Creative Movement
Wednesday 4:15 - 5:00 p.m.
$325 (includes deposit)

* As of September 13th, this class is completely full with no openings available.

@ $0.00

Ballet III (Ages 8 - 11) THIS CLASS IS FULL

Wednesday 5:00 - 6:00 p.m.
$325 (includes deposit)

* As of September 13th, this class is completely full with no openings available.

@ $0.00

Ballet IV (Ages 12 - 13)

Beginning Pointe
Wednesday 6:00 - 7:00 p.m.
$325 (includes deposit)

Non-refundable deposit: @ $50.00

Ballet V (Ages 14 and up)

Pointe
Wednesday 7:00 - 8:00 p.m.
$325 (includes deposit)

Non-refundable deposit: @ $50.00

Advanced Ballet (Ages 14 and up)

Tuesday and Thursday 3:45 - 5:15 p.m.
1 class/week: $375 (includes deposit)
2 classes/week: $625 (includes deposit

Non-refundable deposit: @ $50.00

Advanced Modern (Ages 14 and up)

Monday 3:45 - 5:15 p.m., Wednesday 1:00 - 2:30 p.m.
1 class/week: $375 (includes deposit)
2 classes/week: $625 (includes deposit)

Non-refundable deposit: @ $50.00

Advanced Jazz (Ages 14 and up)

Friday 3:45 - 5:15 p.m.
$375 (includes deposit)

Non-refundable deposit: @ $50.00

Form Total: $0.00

Name of Participant*

Date of Birth*

Name of Second Participant (if applicable):

Second Participant's Date of Birth (if applicable):

Parent/Guardian Name*

Address 1*

Address 2

City*

State*

Zip*

Home Phone*

Mobile phone

Email*

Emergency Contact

Emergency Phone

Credit Card Information

Name on Card*

Card Type*

Credit Card Number*

Expiration Month*

Expiration Year*

CCV*

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