Kick Fall 2008 Registration Form

 

Name:____________________________________  DOB:________

Parents Name: __________________________________________

Address: ________________________________________________

City: ______________________       Zip Code:___________

Phone:___________ E-mail:_______________________

Which Class (es) are you registering for? (Please select classes carefully, transfers may not be available)

 

 

 

 

 

Text Box: In Person Registration/Open House Friday August 1st, 4 - 6:00pm.
Discounts on shoes and dancewear!
 


Class Fee:

Costume Fee:

Total Due:                                         

Current Payment:

New Students only – How did you hear about Kick?

 

Fees (Rates are per family)

Registration fee........................ $25/family per year

One class/week........................ $225

Two classes/week.................... $395

Three classes/ week................ $550

Four classes/week................... $650

Five classes/week.................... $750

Six classes/week...................... $800

Seven classes/week................ $850

 

I understand that dance is an inherently risky activity and I agree to hold harmless, Kick, Vanessa Berry, and any other instructor at Kick for any bodily injury sustained while participating in any class or performance associated with Kick. I also understand that all payments are final and refunds and make up classes are not offered. Monthly payments are due by the first of the month. Final Fall payment is due by 10/31/2008. I have read the Fall 2008 Dance Brochure and I am familiar with the required dress code for dance classes (do not forget to check with Vanessa BEFORE you purchase shoes!)! Kick has an open door observation policy; however, parents are strongly encouraged to limit observation to the last five minutes of class.

 

Parent/Guardian Signature: _____________________________________ Date: ___________________

740 River Road

Fair Haven, NJ 07704 (732) 212-1322

www.kickstudio.com