VIVETTE’S DANCE STUDIO
2010 -2011 Fall Enrollment Form


____________________        ___________________                ______/_______/_____
Student’s LAST Name                Student’s FIRST Name                Date of Birth
____________________        ___________________        ___________________
Address                        City                                Zip Code
_____________________        ________        _________        ________        ____________________
Parent’s/Guardians Name(s)        Home #                Work/Cell#        other #                E-Mail Address

School____________             Circle ’10-’11 grade Pre-K, K, 1,2,3,4,5,6,7,8,9,10,11,12,Adult
If you are a new student, who were you referred by? _________________________
You can receive a Referral Bonus of $8.00 to your account per dancer you refer!
____________________________________________________________________________________________
____
Please mark ALL appropriate days & times to fit your schedule.
I will develop a schedule that meets the needs of the majority of our students. Add comments below if necessary
Day:  Monday ___ Tuesday ___ Wednesday ___ Thursday ___                              Time:  Before 5:30_____ after 5:
30_____
All age groups: each additional 30 min class $8.00, Sibling discount $8.00
Bitties   (age 3) Pre-Ballet 30 min/ $30.00 monthly                _________________
Pre K (age 4) Pre-Ballet & Tap 45 min/ $34.00 monthly        _______________
Kindergarten & Primary 1(1st & 2nd)
 1 class/ 30 min weekly = $30.00 monthly                        Ballet____ Tap _______ Pom ______ Jazz _______
 2 class combo/ 1 hr weekly $38.00 monthly                        Ballet & Tap ________  

Primary 2 (grades 3rd4th)
 1 class/ 30 min weekly = $30.00 monthly                        Ballet____ Tap _______ Pom ______ Jazz _______
 2 class combo/ 1 hr weekly $38.00 monthly                        Ballet/Tap/Jazz Combo _____________
 3 class combo/ 1.5 hr weekly $46.00 monthly

Primary 3 (grades 5th & 6th)                                        Ballet (45 min)
 30 minute class $30.00,         45 min $34.00                        Jazz (45 Min)
       60 minute class $38.00        75 min $42.00                        Tap (30 min)
       90 minute class $46.00                                        Pom (30 min)
 2 hr class          $54.00         
Middle and High school (grades 7-12)                                      Ballet (45 min)
 30 minute class $30.00                                        Pointe (30 min)
  45 minute $34.00                                                Jazz (45 Min)
       60 minute class $38.00                                        Tap (30 min)
 75 minute class $42.00                                              Pom (30 min)
 90 minute class $46.00                                        Hip Hop (30 min)
 2 hr class          $54.00                                         
Adult Classes: Belly Dance: ____   Ballet: ____  (jazz/tap):_____   (all 1 hr/$38.00) (discounts apply!)

Competition Teams * Team fees are not discounted. Team members must also take ballet and either tap or jazz.  Mini
& Rising Stars will probably meet Sat am. Older teams schedule will be determined by team member requests.
Soloists must have at least 1 year experience on team. Exceptions for transfer students and others are made on a
case by case basis.  Teams maybe combined for enrollment or choreography choices. Solo fees are $15.00 per half
hour practice, $50.00 choreography fee.  See Starfeet page for additional information
Mini Stars - Grades K-3        30 minute $20/month                Rising Stars – Gr. 4-6th            30 minute$20/month
Shooting Stars - Gr. 7-8        60 minute $30.00/month                Shining Stars – Gr. 9-12     60 minute $30.00/month

Fall classes Begin Tuesday, September 7th. Please include the registration fee ($10 per student, $15.00 per family)
with your completed & signed enrollment form(s) with Contract Agreement as soon as possible. If enrolling in both
summer and fall sessions, there is NOT an additional registration fee.    Mail or drop off forms and payment to:

Loyalty Discount: As a thank you for your continuing choice of studio's, all dancers enrolled in 09-10 at
both Vivette's Dance Studio and The Dance Academy will recieve a 10% discount off tuition for the 10-11
year.

Vivette’s Dance Studio, 1102 Armory Rd, Salina, Ks 67401
785-827-3396, www.vivettesdance@hotmail.com
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We Welcome All our new The Dance Academy Friends !  
You'll notice our forms look alike, Chelle and I worked on
that to minimize disruption for all our students.
Mon June 14 - Chelle and I are starting
to put together the fall schedule. When
we have it I'll put it up on this site!