Previously Enrolled Student New Student Family Discount

Please refer to the class schedule below to select dance classes for the 2011-2012 season.
(* = required)

Students Name* DOB

Students Name DOB

Students Name DOB

Address Town: Zip:

Home phone:* Cell phone:

E-mail address:*

Previous Dance Training Years at Debbies:

Mothers Name: Work phone:

Fathers Name Work Phone:

Emergency Name: Phone:

Monday
	4:00 - 5:00 Senior Hip Hop - Ages 13 & up
	4:00 - 5:30 Ballet - Tap - Jazz Prep A - Miss Debbie
	5:00 - 6:30 Senior Ballet - Ages 13 & up - Miss Caroline
	5:30 - 6:15 Tumbling 1 - Ages 5-6yr - Miss Debbie
	5:30 - 6:15 Intro to Dance (Ballet & Tap for little ones) Age 4 - Miss Ashley
	6:15 - 7:45 Ballet-Tap-Jazz Combo 1 Ages 6 - 7- Miss Ashley
	6:15 - 7:00 Intro to Dance (Ballet and Jazz for little ones) Ages 5 - 6 - Miss Debbie
	6:30 - 7:15 Senior Tap - Ages 13 & up - Miss Kristen
	7:15 - 8:15 Senior Jazz - Ages 13 & up - Miss Caroline
Tuesday
	9:00 - 9:45 Intro to Dance (Ballet and Tumbling for little ones) Age 2 - Miss Debbie
	9:45 - 10:30 Intro to Dance (Ballet and Tap for little ones) Age 3 - Miss Debbie
	9:45 - 10:30 Intro to Dance (Ballet and Tap for little ones) Age 3 - Miss Whitney
	10:30 - 11:15am Preschool Tumbling - Miss Debbie
	3:45 - 4:30 Petite Hip Hop - Ages 5 & 6 - Miss Caroline
	3:45 - 4:30 Intro to Dance (Ballet & Tap for little ones) Age 4 - Miss Ashley
	3:45 - 4:30 Intro to Dance (Ballet & Tap for little ones) Age 4 - Miss Debbie
	4:30 - 5:15 Tumbling Ages 4-5 - Miss Debbie
	4:30 - 5:15 Tumbling Ages 4-5 - Miss Ashley
	5:30 - 6:15 Intro to Dance (Ballet & Tumbling for little ones) Age 2 - Miss Ashley
	5:45 - 6:30 Preschool Tumbling 1 - Miss Debbie
	6:15 - 7:00 Junior Hip Hop - Miss Whitney
	6:30 - 7:15 Contemporary - Petite/Junior
	7:00 - 7:45 Beginning/Intermediate Tumbling - Miss Debbie
	7:00 - 8:00 Junior Ballet - Miss Caroline
	7:15 - 8:00 Contemporary Teen/Senior
Wednesday
	4:00 - 4:45 Intro to Dance (Ballet & Tap for little ones) Miss Debbie
	4:00 - 4:45 Petite Ballet - Miss Rebecca
	4:00 - 4:45 Petite Ballet - Miss Caroline
	4:45 - 5:30 Petite Jazz - Miss Rebecca
	4:45 - 5:30 Petite Jazz - Miss Caroline
	5:30 - 6:30 Int/Adv Tumbling - Miss Debbie
	5:00 - 5:45 Lyrical - Ages 9-13
	5:45 - 6:30 Petite Tap - Ages 7-10 - Miss Debbie
	6:00 - 7:00 Teen Jazz - Miss Caroline
	6:30 - 7:15 Intro to Dance (Ballet & Tap for little ones) Miss Debbie
	6:30 - 7:15 Beginning Teen Jazz - Miss Rebecca
	7:00 - 8:00 Junior Jazz - Miss Caroline
	7:15 - 8:00 Beginning Teen Ballet - Miss Rebecca
Thursday
	4:00 - 5:30 Prep A-1 - Ballet-Tap-Jazz Ages 5-6 Miss Debbie
	4:30 - 5:15 Junior/Teen Tap - Miss Debbie
	5:15 - 6:00 Petite Hip Hop 2
	5:15 - 6:00 Petite Tumbling 4 - Miss Debbie
	5:30 - 6:15 Intro to Dance (Ballet & Tap for little ones) Age 3 - Miss Ashley
	6:00 - 6:45 Intro to Dance (Ballet & Tap for little ones) Age 4 - Miss Debbie
	6:00 - 6:45 Junior Hip Hop - Miss Whitney
	6:15 - 7:45 Ballet-Tap-Jazz Combo 2 - Miss Ashley
	6:45 - 7:30 Junior Tumbling 3 - Miss Whitney/Miss Emily
	6:45 - 7:30 Advanced Tumbling - Miss Debbie/Miss Kristen
Friday
	4:45 - 5:30 Intro to Dance (Ballet & Tap for little ones) Age 4 - Miss Ashley
	5:30 - 6:15 Intro to Dance (Ballet and Tumbling for little ones) Age 2 - Miss Ashley
	5:30 - 6:15 Preschool Tumbling Ages 3-4 Miss Emily
	5:30 - 6:15 Tumbling 1 - Ages 5-6 - Miss Whitney
	6:15 - 7:00 Intro to Dance (Ballet and Tap for little ones) Ages 3 - Miss Emily
	6:15 - 7:00 Intro to Dance (Ballet and Tap for little ones) Ages 4 - Miss Whitney
	6:15 - 7:00 Intro to Dance (Ballet and Tap for little ones) Ages 5 & 6 - Miss Ashley

(* are required)

Note: There is a $45.00 registration fee per child, and $35.00 for each additional child, and a $40.00 recital fee per family, due at registration.

What dance experience has your child had?

If your child has any health or learning disabilities we need to be aware of, please explain:

Please read our Studio Policies here:
I have read and agree to abide by the studio policies of Debbie's School of Dance.

We sometimes use candid photos of students in our brochures, publicity releases, and website.  Do we have your permission to use your child's photo? Yes No

Parent/Guardian's Name:
Date: