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!
____________________________________________________________________________________________
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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
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.
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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!
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