SUMMER of DANCE AT CITY DANCE THEATRE
Dates: Monday July 10th -Tuesday  August 22nd 2023
Address: City Dance Theatre 3540 Brooks Ave NE, Salem, OR, 97301
***MAILING ADDRESS FOR PAYMENTS: PO BOX 21839, Keizer, OR 97307***
Contact us at 503 391 4952 or cdtfaculty@comcast.net
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Email *
Dancers Name *
Age and school grade just completed. *
Parent name & Phone # *
PLEASE CHECK WHICH SUMMER CLASS PACKAGE YOU ARE REGISTERING FOR *
Required
DANCE & PLAY PIZAZZ!  $40.00 each ages 4-7 Each DANCE & PLAY PIZAZZ is 9:30am - 11:30am Registration is not complete until payment has been received. **Please mail to PO Box 21839 Keizer OR 97307 or drop at the studio Monday - Thursday 4 -8 PM** *
Required
INTENSIVE WEEK - $285.00 July 31 - August 4   9am - 3PM each day .Intermediate and Advanced levels only- 50% payment due with registration to hold place. Balance due July 15th.**Please mail to PO Box 21839 Keizer OR 97307 or drop at the studio Monday - Thursday 4 -8 PM** *
Required
Intensive week dancers will receive a t shirt.Please  let us know what size your dancer would like.Available in Adult & Youth sizes.
1 WEEK UNLIMITED CLASS PASS $120 *
Required
À LA CARTE CLASSES  $20.00 60 mins class. *
Required
I understand that I will receive a bill via the email provided for classes/intensive/Dance & Play Pizazz selected.**Please mail payments to PO Box 21839 Keizer OR 97307 or drop at the studio Monday - Thursday 4 -8 PM** *
Required
Emergency Contact Name  & Telephone # *
I CERTIFY THAT MY CHILD IS IN PROPER PHYSICAL CONDITION TO TAKE PART IN DANCE CLASS. I REALIZE THAT THERE ARE CERTAIN RISKS POSSIBLE IN THE ART OF DANCE. I AGREE TO ASSUME THE RISK OF ALL INJURIES OR DAMAGE THAT MAY ARISE FROM MY CHILD’S PARTICIPATION IN CLASSES AT CITY DANCE THEATRE INC. IN CONSIDERATION OF THE ABOVE I HEREBY RELEASE AND HOLD HARMLESS CITY DANCE THEATRE INC. IT’S TEACHERS AND DIRECTOR FROM AND AGAINST ANY LIABILITY OR CLAIM FOR ANY LOSS OF PROPERTY, INJURY, MISADVENTURE, HARM, COST OR DAMAGE SUSTAINED AS A RESULT OF MY CHILD’S PARTICIPATION IN CLASSES AT CITY DANCE THEATRE INC. *
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