Tricia Sloan Dance Center
Registration Form 2011-2012
Creative Level

PARENTAL  INFORMATION

Home Phone:   -- Cell Phone: --
Parent's Last Name:  
Mother's First Name:   
Father's First Name:  
Street Address:  
City:  
State:

Zip Code:

Email Address:
Confirm your
Email Address:

 

Student's First Name

Student's Last Name 

Birth Date

Student Type:

    New Returning

 

 Select the desired class (you may enroll for more than 1 class):

 

ClassID

Class Name

Day

Time

Instructor

T10AC Creative Tuesday 10:00-11:00 AM Brenda Stefanko
S10CC Creative Saturday 10:00-11:00 AM Dana Sandone

 

Payment Plan

click here for payment plan details

Payment Method

click here for payment method details

Select your payment plan:

9  payment plan (Sept-May)

5 payment plan (Every other month,

                 Sept, Nov, Jan., Mar., May) 

Select your payment method:

Payment will be made thru Direct Debit

Payment will be made thru Auto Credit Charge

Payment will be either online, in-person, or using 

     auto bank check.  Invoices will be either emailed

     or printed coupons. Credit card information must

     also be provided & placed on file at TSDC.

Recital Costumes:

Students enrolled in the Creative class will NOT be participating in the June recital.

 

Comments

 

    

 

You are submitting this registration form to the
Tricia Sloan Dance Center,  1 W. Mantua Ave.     Wenonah, NJ 08090

You will be registered into the selected class and
will be receiving a formal email confirmation & 1st month's invoice from TSDC within 3-5 business days.