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!