TSDC - Summer Classes 2010
Registration Form  - Ages 3-4    Levels Beginner & 1

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 to be attended.

   ____  Ballet/Tap
   with Dana Sandone
   Wed.   6:30-7:30 PM
    Cost $10 per class
 _____  July 28
 _____  August 4

 _____  August 11
 _____  August 18

Summer Classes - Registration Instructions

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