Jazz Shoe Order Form
Burbank High School Dance Program
Student Last Name
Student First Name
Sizing & Pricing
Suggested Fitting: Same as street. Street shoes that are half sizes, go up to next whole size. Available in sizes: (Adult) 4.0-11.0 (Whole sizes only). This information is shown as a guide only and not a guarantee. Actual fitting may vary.
Adult Size 4 ($30)
Adult Size 5 ($30)
Adult Size 6 ($30)
Adult Size 7 ($30)
Adult Size 8 ($30)
Adult Size 9 ($30)
Adult Size 10 ($30)
Adult Size 11 ($30)
Girls Sizing - See Dance Teacher ($30)
Male Sizing Above Adult 11 - See Dance Teacher ($40)
All jazz shoe payments must be made for the full amount, through the BHS Finance Office (CASH, CREDIT, or CHECK to BHS Dance)
Ms. Kyutunyan will give you a receipt once you make your payment. You must submit the receipt to the Dance Directors by the deadline, Friday, August 30th, for your order to be final.
Please click each box below to show you understand the order process.
I will make my payment in full to the BHS Finance Office first.
I will then submit my receipt to the Dance Directors by the deadline, Friday, August 30th.
my order is not final until I submit payment to the BHS Finance Office & receipt to the Dance Directors.
if I do not complete the order process by the deadline my order will be voided.
A copy of your responses will be emailed to the address you provided.
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