TSDC - Summer Classes 2010
Registration Form  - Ages 7-8    Levels 5-6

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.

____  Ballet
      with Tara Morrone
        Tuesday 6-7 PM
         Cost $10 per class 		____  Lyrical
      with Julie Schell
    Thurs  6-7  PM
    Cost $10 per class
 _____  July 27
 _____  August 3

 _____  August 10
 _____  August 17
 _____  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