TSDC - Summer 2008
 Dance Company Classes
Dance Company Members Only
Registration Form

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 company class for which you will be attending.

__ Intermediate
 Company

Wednesday  6-8 PM
Cost $5  per class

__ Junior
Company

Wednesday  6-8 PM
Cost $5  per class

__ Senior
Company

Wednesday  6-8 PM
Cost $5  per class

 _____  July 30
 _____  August 6

 _____  August 13
 _____  August 20
 _____  July 30
 _____  August 6

 _____  August 13
 _____  August 20
 _____  July 30
 _____  August 6

 _____  August 13
 _____  August 20

Summer Company Classes - Registration Instructions

1. Complete Sections 1 & 2
2. Calculate total amount due (Note: 1 hour company classes are $5)
3. Make payment in full to Tricia Sloan Dance Center
4. Mail to: Tricia Sloan Dance Center, 1 W. Mantua Ave. , Wenonah, NJ 08090