***Please print, mail and send with registration fee of $25 (new students). Previous students register on Parent Portal***
Parent/Guardian:______________________________________________________________________________
Address:_______________________________________________________________
___________________________________________ E-mail:__________________________________________
Phone Number: __________________________________
Child 1:____________________________________
Age:________ D.O.B. ____________ Grade:________
Classes: Tap Ballet Jazz (6+) Jazz/Hip-Hip (9+) Ballet/Lyrical (9+)
Child 2:____________________________________
Age:________ D.O.B. ____________ Grade:________
Classes: Tap Ballet Jazz (6+) Jazz/HH (9+) Ballet/Lyrical (9+)
Child 3:____________________________________
Age:________ D.O.B. ____________ Grade:________
Classes: Tap Ballet Jazz (6+) Jazz/HH (9+) Ballet/Lyrical (9+)
Schedule (Tent): Mon: 9-11yo Tue: 3-5yo & Adults Wed: 6-9yo Thur: HS & JRH
Adult Lessons: (over 18) Tap Jazz/HH Ballet Line Dancing Couples Hula Hooping Drumming
Comments/Questions:_____________________________________________________________________________
______________________________________________________________________________________________
Send to:
Nicole's School of Dance
116 Meadowhill Rd
Manchester, ME 04351
Registration Deadline: September 1st.
***There is a non-refundable registration fee of $25 for new students only***