TSDC - Summer Classes 2010
Registration Form  - Ages 12-18   Levels 10-12

Section 1. Parent & Child Information:   (Please PRINT clearly) 

Home Phone:  
Parent's
Last Name:		  
Mother's 
First Name: 		  

Father's
 First Name:

  
Street Address:  
City:  
State:  

Zip Code:

 
Email Address:  
Child's
First Name		  

Child's
Last Name 

  
Age  

DOB
(mm/dd/yy)

   /         /

Section 2: Place a check next to each class for which you are enrolling.
                  Then place a check next to each class to be attended.

___Classical Jazz
 
with Tricia Sloan
Tuesday 7-8 PM
Cost $10 per class 		____  Ballet
 
with Tara Morrone
Tuesday  8-9  PM
Cost $10 per class 		____  Pointe
 
with Tara Morrone
Thurs  7-8 PM
Cost $10 per class 		____  Lyrical
 
with Tara Morrone
Thurs  8-9 PM
Cost $10 per class
 _____  July 27
 _____  August 3

 _____  August 10
 _____  August 17
 _____  July 27
 _____  August 3

 _____  August 10
 _____  August 17
 _____  July 29
 _____  August 5
 _____  August 12

 _____  August 19
 _____  July 29
 _____  August 5
 _____  August 12

 _____  August 19

Summer Classes - Registration Instructions

1. Complete Sections 1 & 2
2. Calculate total amount due (Note: 1 hour classes are $10)
3. Make payment in full to Tricia Sloan Dance Center
4. Mail to: Tricia Sloan Dance Center, 1 W. Mantua Ave. , Wenonah, NJ 08090