***Please print, mail and send with the registration fee of $25 (if you are a new student). Previous students may e-mail***
Parent/Guardian:______________________________________________________________________________
Address:_______________________________________________________________
______________________________________________________________________
Child 1:____________________________________
Age:________ D.O.B. ____________ Grade:________
Classes: Tap Jazz Ballet Jazz/Hip-Hip (9+only) Jig (HS+only)
Child 2:____________________________________
Age:________ D.O.B. ____________ Grade:________
Classes: Tap Jazz Ballet Jazz/HH (9+only)
Child 3:____________________________________
Age:________ D.O.B. ____________ Grade:________
Classes: Tap Jazz Ballet
Phone Number:
Circle Nights Preferred: Mon Tue Wed Thur
Adult Lessons: (over 18) Tap Jazz/HH Ballet Jig Line Dancing Couples
Zumba Hula Hooping (new)
Comments/Questions:_____________________________________________________________________________
______________________________________________________________________________________________
Send to:
Nicole's School of Dance
116 Meadow Hill Rd
Manchester, ME 04351
Registration Deadline: September 1st.
***There is a non-refundable registration fee of $25 for new students only***