Yazoo City School of Dance Registration: 2019-2020 Dance Classes
Dance Classes begin on September 10 & 12, 2019
Studio Location: Triangle Cultural Center- 332 N. Main Street Yazoo City, MS 39194
Contact Director, Krista Bower, at 810-623-4695 or
with any questions
PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD REGISTERING FOR DANCE CLASS.
Student's Last Name
Student's First Name
Parents' / Guardians' Name(s): "FirstName(s) LastName"
Street Address or P.O. Box #
Primary Cell Phone Number xxx-xxx-xxxx
Secondary Cell Phone Number
Pre-Ballet for 3.5-4 yr. olds: Tuesdays 3:30-4:15pm; $45/month
Jazz/Tap I for 5-8 yr. olds; Tuesdays 4:15-5:00pm; $45/month
Beginning Ballet IV/V for 8-11 yr. olds; Tuesdays 5:00-6:00pm; $50/month
Teen Contemporary Dance for 12+ yr. olds; Tuesdays 6:00-7:00pm; $50/month
Int. Ballet + Pointe for 13+ yr. olds; Tuesdays 7:00-8:15pm; $55/month *Pointe requires Director's permission
Beginning Ballet I for 5-6 year olds; Thursdays 4:15-5:00pm; $45/month
Beginning Ballet II/III for 7-8 year olds; Thursdays 5:00-6:00pm; $50/month
Jazz/Tap II for 8-11 year olds; Thursdays 6:00-7:00pm; $50/month
Intermediate Ballet for 12+ year olds; Thursday 7:00-8:15pm; $55/month
Liability Waiver: While Krista Bower, Andrea Knudson and any other Faculty/ Employee will maintain proper safeguards at all times, I realize that my child will be actively involved in physical activity while in class/es. Parents, legal guardians of minors, students, and adult students waive the right to any legal action for any injury sustained on the school property resulting from normal dance activity or any other activity conducted by the student before, during, or after class time. If a student is injured or is suffering from a specific condition, it is the student’s responsibility to notify the teacher before the class begins. I have read and agree to the POLICIES AND PROCEDURES listed on the "STUDIO POLICIES" tab of the website.
Student Medical Conditions / Allergies?
My Payment Plan: The $25 Registration Fee (per family) + September's Tuition is due by the 1st day of class. If a student registers for more than 1 dance class per week or if multiple family members register for classes, you will receive a 10% discount on monthly tuition.
I plan to mail a check or money order to "Yazoo City School of Dance," 205 Longwood Drive Clinton, MS 39056
I plan to pay through Paypal using the "Buy Now" button on the Registration Information page of
A copy of your responses will be emailed to the address you provided.
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