Summer 2011 Registration

Billing Name
Student Name
Student Birthdate
Address
City
State/Zip Code
Phone Number
Email Address
Monday
 3:30-4:30p -- Jazz 2 
 4:30-5:15p -- Hippity Hop 
 5:15-6:15p -- Teen Hip Hop 
 6:20-7:05p -- Ballet 1 
 7:10-7:55p -- Hip Hop 1 
 7:30-8:30p -- Street Jazz 
 8:00-9:00p -- Adult Tap 
Tuesday
 4:15-5:00p -- Boys Hip Hop 
 5:00-6:00p -- Hip Hop 2 
 6:00-6:30p -- Pre-Ballet 
 6:30-7:15p -- Ballet Tap 
 7:15-8:15p -- Teen Jazz 
 6:15-7:15p -- Adult Hip Hop 
 7:15-8:15p -- Lyrical Jazz 
Wednesday
 3:00-4:00p -- Dance Team Tech. (int) 
 3:15-3:45p -- Pre-Ballet  
 3:45-4:30p -- Ballet 1 
 4:00-5:00p -- Dance Team Tech. (beg) 
 4:30-5:15p -- Hip Hop 1 
 5:15-6:15p -- Jazz 3 
 6:15-7:00p -- Hippity Hop 
 7:00-8:00p -- Adult Tap 
 8:00-9:00p -- Broadway Jazz 
Thursday
 3:30-4:15p -- Jazz 1 
 4:15-5:00p -- Intro to Ballet 
 5:00-6:00p -- Ballet 3 
 6:00-7:00p -- Hip Hop 3 
 7:00-8:00p -- Hip Hop Fitness 
Saturday
 9:30-10:00a -- Twistin Tots 
 9:30-10:15a -- Hip Hop 1 
 10:00-10:45a -- Intro to Ballet 
 10:15-11:15a -- Hip Hop Fitness 
 10:45-11:30a -- Ballet Tap Combo 
 11:15-12:15p -- Hip Hop 2 
 11:30-12:30p -- Adult Ballet 
 12:15-1:15p -- Dance Team Tech. (beg) 
Preferred Method of Payment:
Where did you hear about us?
 Tops in Lex 
 Hamburg Journal 
 Kids Directory 
 Online Search 
 Friend 
 Other (please specify below) 
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