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  • 2011 Enrollment Form

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    Miranda Reece Cain
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    This document is an enrollment form for dance classes at Dance With Miranda for the 2010-2011 school year. It requests the student's name, age, birthday, grade, contact information for parent/guardian, preferred method of contact, classes enrolling in, and a waiver signature. It provides the dance school's contact information and lists the tentative class schedule for the upcoming year with days, times, and grade levels.

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    This document is an enrollment form for dance classes at Dance With Miranda for the 2010-2011 school year. It requests the student's name, age, birthday, grade, contact information for parent/guardian, preferred method of contact, classes enrolling in, and a waiver signature. It provides the dance school's contact information and lists the tentative class schedule for the upcoming year with days, times, and grade levels.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    71 views1 page

    2011 Enrollment Form

    Uploaded by

    Miranda Reece Cain
    This document is an enrollment form for dance classes at Dance With Miranda for the 2010-2011 school year. It requests the student's name, age, birthday, grade, contact information for parent/guardian, preferred method of contact, classes enrolling in, and a waiver signature. It provides the dance school's contact information and lists the tentative class schedule for the upcoming year with days, times, and grade levels.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    2010-

    2010-2011 Enrollment

    Student Name:___________________________________ Age on August 1, 2010:________

    Birthday:_______________ Grade in School (2010-2011):____________

    Parent/Guardian Name:___________________________________________(responsible party)

    Relationship to student:_________________________________________

    Mailing Address:________________________________________________________

    Home Phone:_______________________________ Cell Phone:____________________

    Please check one:

    [ ] I prefer not to receive text messages on my cell phone [ ] text messages are ok

    E-mail address:____________________________________

    Were you referred by someone? If so, list their name:__________________________________

    Please circle all classes you are enrolling in:

    TRADITIONAL/COMBO HIP-HOP BALLET-TECH/POINTE

    Please sign the waiver on the back of this form and mail to (or bring to enrollment day):

    Dance With Miranda, Miranda B. Cain, 195 W Helena Apt H3, Siloam Springs, AR 72761

    *Students will be placed in a class based on what grade they are in at school.

    2009-2010 Schedule (Subject to change, may vary based on enrollment)

    Thursdays

    4:00-4:30 (Blue Class) 2 ½-3 ½ Year Olds not in


    school & Pre-K
    7:00-7:45 (Pink Class) 6th-8th Grade
    nd
    4:30-5:15 (Yellow Class) K-2 Grade
    7:45-8:15 (Advanced Hip-Hop) 7th-12th Grade
    5:15-6:00 (Purple Class) 3rd-5th Grade
    8:15-9:15 (Green Class) 9th-12th Grade
    th
    6:00-6:30 (Hip-Hop) Pre-K-6 Grade
    Enrollment Day August 6th 10-12 AM
    6:30-7:00 (Ballet Tech/Pointe) All School Ages
    First Day of Classes August 19th

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