heavenly dance

Covington, Ga., 30014

P.O. Box 1091
heavenly dance Steps
Waiver of Liability and Photo
Release
Liability Release
The Heavenly Dance Steps studio and staff
members assume no liability for the purposes of
Steps
the student for any accidents caused by acts of said
student, and the person hereafter signing the
contract below on behalf of said student assumes
Summer 2010
responsibility thereof. Heavenly Dance Steps must
be advised of all preexisting physical and medical Dance Intensive
conditions.

Photograph & Video Release

I grant permission to Heavenly Dance Steps studio
and staff to use photographs and video footage
taken of me or the minor named below for use in
studio promotional materials including but not
limited to brochures, newsletters, magazines,
display boards, and to use such photographs in
electronic versions of the same publications or on
web sites or other electronic forms or media
without notification to me or any other person now
and in the future.

Applicant signature (if over 18 years of age):

______________________________________
Mon. July 19-Fri. July
Applicant name: _______________________ 23, 2010
Parent/guardian signature:
Praise and worship through
___________________________________
dance technique!
Parent/guardian name: _________________

______________________________________
770-853-5076
Date _____/_______/_____ Exalt the Lord our God. Bow low before his feet, for He is holy. Psalm
99:5
www.heavenlydancesteps.org
 Dates: July 19 - 23 M-F Registration Form (please enclose one form per

2010 Summer Intensive Program Morning Session 8 AM - 1 PM

individual)
Student Name:
Heavenly Dance Steps is honored to provide an exciting Afternoon Session 1:30 PM - 6 PM
workshop of dance training for students ages 7 and up.
For students that want to improve their skills in a loving, ______________________________
Tuition: $50 per student (5% discount per sibling)
god-fearing environment, our summer program supplies
the joy of worship and technique without the pressure of Age: ______
the academic school year and at a more rapid pace of Registration Deadline: July 16, 2010
advancement.
Friday will include a showcase of student Parent/Guardian
The daily schedule includes devotions and prayer, ballet demonstration for parents and guests at 5:30 PM.
technique, conditioning, and jazz, as well as electives
such as modern, pointe, and more. ______________________________
Address:
Levels Sample Schedule ______________________________
Our workshop will be divided first by age group and then
Monday-Thursday
by level of technical ability to ensure that each student is
placed so as to reach their maximum capabilities. ______________________________
The Morning Session is designed for absolute beginners Morning Session Email:
through beginning intermediates (3+ years of ballet or 8:00-8:20 Devotions
jazz) ages 7 to 11.
8:25-9:55 Ballet Technique ______________________________
The Afternoon Session is available for beginning
intermediate through advanced level students ages 12 and 10:00-11:30 Jazz & Conditioning
11:30-12:00 Lunch Phone:
up.
All placements and advancements will be made at the 12:00-1:00 Elective ______________________________
discretion of the teachers and artistic director.
Afternoon Session Emergency Contact Person & #:
Dress Code 1:30-1:50 Devotions
Ballet Black leotard, pink tights, pink split sole ballet
1:55-3:25 Ballet Technique _______________________________
shoes, ballet bun. A wrap skirt is optional.
Jazz & Conditioning Black leotard, black jazz pants, 3:30-5:00 Jazz & Conditioning
black jazz shoes (no jazz sneakers), hair pulled back. 5:00-6:00 Elective
Semi-fitted t-shirt is optional. ___ Beginner I (no experience)
Modern Black pants, leotard, and tights. Hair pulled back. Friday ___ Beginner II (some ballet/jazz)
Dance paws or barefoot On Friday evening, all workshop participants will
___ Intermediate (3-6 yrs ballet/jazz)
Tap Black tap shoes, hair pulled back. Pants should not dance in our parent showcase. Portions of the
go past ankles. schedule will be revised to allow for rehearsal of ___ Int./Advanced (6+ yrs ballet/jazz)
all showcase dances. The showcase will be held
Meals and Snack at 5:30. Dancers arrive at 5:00. Current Studio & Location
Morning session students must bring a lunch and drink.
No student will be allowed to leave during program hours
to purchase or pick up their food. All students may bring ______________________________
healthy snacks. Please eat a nutritious breakfast (morning
session) or lunch (afternoon session) before you arrive at
the workshop.
Fall 2010-2011 Please send completed registration form along with
tuition to:
Join us this fall!! Classes begin Monday, August 9, 2010. P.O. Box 1091 Covington, Georgia 30014
Open house Saturday, July 31st from 10-1pm Make checks payable to:
Heavenly Dance Steps
Earmarked:
heavenly dance Steps heavenly dance Steps Summer Dance Intensive 2010
1191 Usher Street • Covington, GA • 30014 1191 Usher Street • Covington, GA • 30014 Please turn over to sign.
debbie@heavenlydancesteps.org debbie@heavenlydancesteps.org