REGISTRATION FORM

Holmes Dance Academy of Berlin Resort

2014-2015 at The Club @ Berlin Resort

Please fill out one form per child. You may pay for all your children with one check or by
credit card or cash. We look forward to serving you and your child(ren) through the
exciting programs at here at the Holmes Dance Academy.

4) 7 Week Sessions: Cost Per Session:
1. August 25-October 10
2. October 13-November 25
3. January 5-February 19
4. February 23-March 17
One Class: $ 63.00
Two Classes: 112.00
Three Classes: 147.00
Four Classes: 196.00
Five Classes: 245.00

Childs Name ______________________________________________

Please mark the classes your child is enrolling in:
!
Classes Available
!
Classes Available
Beginning Tap Creative Movement
Intermediate Tap Ballet 1
Advanced Tap* Ballet 2
Beginning Tumbling Ballet 3 (one class per week)
Intermediate Tumbling Ballet 3* (two classes per week)
Advanced Tumbling* Ballet 4* (mandatory two classes per week)
Hip Hop Pointe
Advanced Hip Hop*
Jazz
*Requires a $15.00 Rehearsal Fee with 2
nd

Session Payment Only One Fee Per Person

Number of Classes Chosen: _____ = $______ (see chart above)
*$15.00 Rehearsal Fee x _____= $______ (2
nd
Session)
Total Due: ______

Paid with ___ Cash ___ Check #_____ ___ Credit Card
Credit Card # ___________________________________ Exp. ____________
Name on Card __________________________________ Code ___________
Payment Taken by: ______________________________________________
Session: ___ONE ___TWO ___THREE ___FOUR

No refunds will be given. Thank you as we look forward to another great year!