Student's First Name       Student's Last Name

Date of Birth       Gender: Male   Female

Parent's Name(s)

Street Address 1      Street Address 2

City      State MD PA VA        Zip Code

Home Phone      Work Phone      

Cell Phone      Email Address

Please select from the list below the class(es) for which you are registering this student. 

CLASS 1 None MONDAY 5:00 Modern II MONDAY 5:15 Intro to Hip Hop MONDAY 5:45 Broadway Jazz II MONDAY 6:45 Jazz III* TUESDAY 5:00 Intro to Foundations TUESDAY 5:45 Foundations of Dance I TUESDAY 5:45 Adv Ballet Tech II* TUESDAY 7:15 Tap III* WEDNESDAY 5:00 Adv Ballet Tech I* WEDNESDAY 6:00 Modern IV* WEDNESDAY 6:15 Broadway Jazz I WEDNESDAY 7:00 Hip Hop II WEDNESDAY 7:30 Hip Hop III* THURSDAY 5:00 Modern III THURSDAY 5:00 Ballet & Ballet Stories THURSDAY 6:30 Ballet II THURSDAY 6:00 Ballet V* THURSDAY 7:30 Pointe* FRIDAY 5:00 Junior Co. Rehearsal* SATURDAY 10:00 Tiny Tots SATURDAY 10:00 Intro to Hip Hop SATURDAY 10:45 Intro to Tap / Tap I SATURDAY 11:30 Tap II SATURDAY 10:45 Intro to Foundations of Dance SUNDAY 12:00 Senior Co. Rehearsal*  

CLASS 2 None MONDAY 5:00 Modern II MONDAY 5:15 Intro to Hip Hop MONDAY 5:45 Broadway Jazz II MONDAY 6:45 Jazz III* TUESDAY 5:00 Intro to Foundations TUESDAY 5:45 Foundations of Dance I TUESDAY 5:45 Adv Ballet Tech II* TUESDAY 7:15 Tap III* WEDNESDAY 5:00 Adv Ballet Tech I* WEDNESDAY 6:00 Modern IV* WEDNESDAY 6:15 Broadway Jazz I WEDNESDAY 7:00 Hip Hop II WEDNESDAY 7:30 Hip Hop III* THURSDAY 5:00 Modern III THURSDAY 5:00 Ballet & Ballet Stories THURSDAY 6:30 Ballet II THURSDAY 6:00 Ballet V* THURSDAY 7:30 Pointe* FRIDAY 5:00 Junior Co. Rehearsal* SATURDAY 10:00 Tiny Tots SATURDAY 10:00 Intro to Hip Hop SATURDAY 10:45 Intro to Tap / Tap I SATURDAY 11:30 Tap II SATURDAY 10:45 Intro to Foundations of Dance SUNDAY 12:00 Senior Co. Rehearsal*

CLASS 3 None MONDAY 5:00 Modern II MONDAY 5:15 Intro to Hip Hop MONDAY 5:45 Broadway Jazz II MONDAY 6:45 Jazz III* TUESDAY 5:00 Intro to Foundations TUESDAY 5:45 Foundations of Dance I TUESDAY 5:45 Adv Ballet Tech II* TUESDAY 7:15 Tap III* WEDNESDAY 5:00 Adv Ballet Tech I* WEDNESDAY 6:00 Modern IV* WEDNESDAY 6:15 Broadway Jazz I WEDNESDAY 7:00 Hip Hop II WEDNESDAY 7:30 Hip Hop III* THURSDAY 5:00 Modern III THURSDAY 5:00 Ballet & Ballet Stories THURSDAY 6:30 Ballet II THURSDAY 6:00 Ballet V* THURSDAY 7:30 Pointe* FRIDAY 5:00 Junior Co. Rehearsal* SATURDAY 10:00 Tiny Tots SATURDAY 10:00 Intro to Hip Hop SATURDAY 10:45 Intro to Tap / Tap I SATURDAY 11:30 Tap II SATURDAY 10:45 Intro to Foundations of Dance SUNDAY 12:00 Senior Co. Rehearsal*

CLASS 4 None MONDAY 5:00 Modern II MONDAY 5:15 Intro to Hip Hop MONDAY 5:45 Broadway Jazz II MONDAY 6:45 Jazz III* TUESDAY 5:00 Intro to Foundations TUESDAY 5:45 Foundations of Dance I TUESDAY 5:45 Adv Ballet Tech II* TUESDAY 7:15 Tap III* WEDNESDAY 5:00 Adv Ballet Tech I* WEDNESDAY 6:00 Modern IV* WEDNESDAY 6:15 Broadway Jazz I WEDNESDAY 7:00 Hip Hop II WEDNESDAY 7:30 Hip Hop III* THURSDAY 5:00 Modern III THURSDAY 5:00 Ballet & Ballet Stories THURSDAY 6:30 Ballet II THURSDAY 6:00 Ballet V* THURSDAY 7:30 Pointe* FRIDAY 5:00 Junior Co. Rehearsal* SATURDAY 10:00 Tiny Tots SATURDAY 10:00 Intro to Hip Hop SATURDAY 10:45 Intro to Tap / Tap I SATURDAY 11:30 Tap II SATURDAY 10:45 Intro to Foundations of Dance SUNDAY 12:00 Senior Co. Rehearsal*

COST AND TERMS

ENROLLMENTS AFTER AUG. 2:  Enrollment will be accepted, if space allows, with payments received 4 days after registration.

CASH OR CHECK ONLY, Please.

$20.00 Non-refundable Registration Fee applies.  ($12 paid once a year for returning students)
Please Note: Registration Fees are non-refundanble

45 minute class: $40.00 / month

60 minute class: $45.00 / month

90 minute class: $48.00 / month

Payments are due the 1st of each month and are subject to a late fee after the 10th of the month.  Returned Checks will be billed a $25.00 Returned Check Fee.

Recital Fees Due Oct. 30 (please ask about payment plans): 
A non-refundanble recital fee is due for each class for which a student will perform in the Spring Recital.  Recital Fees will include a Costume Fee and Tights Fee, as follows:  Costume Fee: $72.00 and Tights:  $10.00

The undersigned, for him(her)self and / or as the parent or guardian of the student named above (individually and collectively, the Student) assumes the sole risk of injury, accident, death, loss, cost or damage to his or her person or property which might arise from the use of Taneytown Dance Center's services and facilities, or participation in any dance / exercise course program, including the matter relating to any preexisting physical condition or impairment. The Student, his / her heirs, personal representatives, executors, employees, servants, and agents from all claims, demands, injuries, damages, actions or causes of action and from all acts of passive negligence on the part of Taneytown Dance Center, its servants, instructors, agents or employees. The Student further certifies that he or she is in good physical health and is able to undertake and engage in the physical exercise or sports activities in which he or she chooses to participate, including participation in any dance / exercise course or program.

Yes, I accept the terms above (equates to signature of Student or Parent / Guardian, if minor)