Dance Northeast! 2019
MASTER CLASS REGISTRATION FORM
Name: _____________________________________________ Age: _____________
Address:_______________________________________ Phone: ________________
Email:__________________________________ School/Company: ______________
• All classes are of an intermediate/advanced level.
• Students must be of that level and at least 10 yrs old to attend.
□ 1 class for $30 □ 2 classes for $50 □ 3 classes for $70 □ 4 classes for $80
_____ 9:00-10:30 a.m. Tap
_____ 10:45-12:15 p.m. Contemporary
_____ 10:45-12:15 p.m. Character Ballet (bring character shoes if you have them)
_____ 1:00-2:30 p.m. Hip Hop
_____ 1:00-2:30 p.m. Contemporary
_____ 2:30-4:00 p.m. Jazz
Total Amount Due: ______________
*Schedule is subject to change
Make checks payable to: Sole City Dance, Inc. Mail to: Sole City Dance, 187 Route 108, Somersworth, NH 03878
Payments are non-refundable. Exceptions only if SCD has cancelled a class. Student will not be registered until payment is received.
Sole City Dance, Inc., and Master Class Instructors are not liable for personal injuries or loss of or damage to personal property. Since dance is a physical activity, injuries may occur. Each student may decline to participate in any activity which he or she deems to be harmful. The student (or parent, if student is under 18) is responsible to inform the instructor of any physical limitations which may prevent full participation in class.
Signature: (of parent if under 18)____________________________ Date ___________