Davidson Academy Dance Company
2010-2011 Registration Form
Registration Fee: $75.00
Student's Name:
Parent/Guardian:
Address:
Home Phone:
Work (M):
Cell (M):
Work (D):
Cell (D):
Email Address(es):
Grade (09-10):
Teacher:
Extended Care:
Health Concerns:
Please check the box next to the class(es) you are interested in:
Creative Movement
(3-4 yrs old):
Ballet:
Tap:
Jazz:
For His Majesty
/ Praise:
Classes do not meet when school is closed for holidays or inclement weather; however regular monthly charges apply.
Class schedules will be mailed (or emailed if address provided) no later than one week before teh start of the school
year. Class schedules will also be posted on the dance page of the school website, on the DADC website
(www.dadanceco.com) and on the dance bulletin board.
By signing below, I authorize the use of my/our child's photographs in DADC publications, the dance page of the school
website and/or on the DADC website.
Please print this page before submitting so that you can also send a signed
copy to the school.
Parent's signature:__________________________________________________ Date: ___________________
REGISTRATION FEE OF $75 CAN BE SUBMITTED VIA CHECK OR PAYPAL TO: dadancepartners@yahoo.com.