Previously Enrolled Student New Student Family Discount

Please refer to the class schedule below to select dance classes for the 2010-2011 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 - 4:45 Petite Ballet - Miss Ashely
	4:00 - 5:30 Ballet - Tap - Jazz Combo - Miss Debbie
	4:45 - 5:30 Petite Jazz - Miss Ashley
	5:30 - 6:15 Intro to Dance (Ballet and Tap for little ones) Age 3 - Miss Ashley
	5:30 - 6:15 Preschool Tumbling - Miss Whitney
	5:30 - 6:15 Tumbling Ages 5-6yr - Miss Debbie
	6:15 - 7:45 Ballet-Tap-Jazz Combo 1 Ages 5-6 - Miss Ashley
	6:15 - 7:15 Intro to Dance (Ballet and Jazz for little ones) Ages 5 - 6 - Miss Debbie
	6:15 - 7:45 Ballet - Tap - Jazz Combo 1 Ages 5-6 - Miss Whitney
Tuesday
	9:00 - 9:45 Intro to Dance (Ballet and Tumbling for little ones) Age 2 - Miss Debbie
	9:45 - 10:15 Intro to Dance (Ballet and Tap for little ones) Age 3 - Miss Debbie
	9:45 - 10:15 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 Hip Hop - Ages 5 & 6 - Miss Caroline
	3:45 - 4:30 Intro to Dance (Ballet & Tap for little ones) Age 4 - Miss Ashley
	4:30 - 5:15 Tumbling Ages 4-5 - Miss Debbie
	4:30 - 5:15 Tumbling Ages 4-5 - Miss Ashley
	5:15 - 6:00 Petite/Junior Tap - Miss Jessica
	5:15 - 6:15 Teen/Senior Ballet - Miss Haley
	5:30 - 6:15 Intro to Dance (Ballet & Tumbling for little ones) Age 2 - Miss Debbie
	6:00 - 6:45 Intro to Dance (Ballet & Tap for little ones) Ages 3 & 4 - Miss Debbie
	6:15 - 7:00 Junior Hip Hop - Mr Daniel
	7:00 - 7:45 Beginning/Intermediate Tumbling - Miss Debbie
	7:15 - 8:00 Contemporary Petite/Junior - Mr Daniel
	8:00 - 8:45 Senior Jazz - Miss Haley
Wednesday
	4:00 - 4:45 Beg/Int Tumbling - Miss Debbie
	4:00 - 4:45 Petite Ballet - Miss Haley
	4:45 - 5:30 Beginning Jazz - Miss Debbie
	4:45 - 5:30 Petite Jazz - Miss Haley
	4:30 - 5:30 Teen/Senior Hip Hop - Mr Daniel
	5:30 - 6:30 Int/Adv Tumbling - Miss Debbie
	5:30 - 6:30 Teen Jazz - Miss Haley
	5:30 - 6:30 Lyrical - Teen/Senior - Miss Blair
	6:30 - 7:15 Beginning Teen Jazz - Miss Jessica
	6:30 - 7:30 Contemporary Teen/Senior -Mr Daniel
	6:30 - 7:30 Lyrical - Petite/Junior - Miss Blair
	7:15 - 8:00 Beginning Teen Ballet - Miss Jessica
Thursday
	4:00 - 5:00 Junior Ballet - Miss Haley
	4:00 - 5:30 Prep A-1 - Ballet-Tap-Jazz Ages 5-6 Miss Debbie
	4:30 - 5:15 Teen/Senior Tap - Miss Kristin
	5:00 - 6:00 Junior Jazz- Miss Haley
	5:15 - 6:00 Petite Hip Hop - Mr Daniel
	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 - 7:00 Junior Hip Hop - Mr Daniel
	6:15 - 7:45 Ballet-Tap-Jazz Combo 2 - Miss Ashley
	6:45 - 7:30 Beg/Int Tumbling - Miss Debbie/Miss Whitney
	6:45 - 7:30 Advanced Tumbling - 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 3-5 Miss Whitney
	5:30 - 6:15 Preschool Tumbling Ages 3-5 Miss Becca
	6:15 - 7:00 Intro to Dance (Ballet and Tap for little ones) Ages 3 - Miss Ashley
	6:15 - 7:00 Intro to Dance (Ballet and Tap for little ones) Ages 4 - Miss Becca
	6:15 - 7:00 Jazz/Tumbling - Miss Whitney

(* are required)

Note: There is a $35.00 registration fee per student, and a $35.00 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: