Registration for classes - 2008/2009
Just For Kicks Dance Academy
Student's Name
Birthdate
Parents' Names
Class
Phone Number
Cell/Emergency Number
Parent's Email
Street Address
City, State, Zip
How did you hear about us?
Registration Fee $30/$10 additional student

Costume Deposit (non-refundable) $30

First tuition payment due on your first class
Method of
Payment
If paying by check, please mail to:

Just For Kicks Dance Academy
404 2nd. Ave.
Mason, OH 45040

If paying by credit card, please fill
out the following:
Name on Card
Card Number
Expiration Date
Amount
Billing Address
(if different than above)
MONDAY
Ballet Tap Jazz Combo 6:15 - 7:15
Pee Wee Team 5:00 – 5:45

TUESDAY
Creative Movement I  9:30 – 10:15 am
Kinderdance A  10:15 – 11:15
Kinderdance A  4:45 – 5:45
Teen  Jazz 6:00 - 6:45
Teen Tap 6:45 - 7:30

WEDNESDAY
Creative Movement II  10:45 – 11:30
Creative Movement  II  6:00 – 6:45
Pee Wee Team 5:00 - 5:45

THURSDAY
Kinderdance A  4:45 - 5:45
Tution Schedule

Pre Dance $30 per month
Mom's Morning Out $80/month
Creative Movement $45 per month
Kinderdance $55 per month
Combo Class $68 per month
Any other 45 min. class $45 per month
Any two 45 min. classes $68/month
Any three 45 min classes $80/month

Tuition is due Sept. 1 thru June 1