CenterStage Performing Arts Summer 2015 Registra7on Form June 29-‐August 7th Please forward completed registration with payment to: CenterStage, PO Box 19, Raymond, Maine 04071 Dancers Name_____________________________________________________________ Age: ____________ DOB:_______________ Tel #: (h) ____________(w) ____________ (c)_________ Address:_________________________________________________________________ Parent/Guardian:___________________________________________________________ Email address: _______________________________ (confirmation will be sent via email) Class Date Deposit paid ($50/session)_____________ Fee* Total balance due:_________________ * Tumbling students require additional release found on the homepage at www.centerstagepa.com To assist us in making your child’s experience enjoyable, please inform of any physical limitations or concerns you would like us to know about. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Camps/classes are filled on a first come first serve basis. Completed application and deposit required to secure spot. Deposits are non-refundable. Absence from class is non-refundable. Tuition is not pro-rated for sickness or vacations. Minimum enrollment is required for all classes and camps. CenterStage is not responsible for any personal injuries or loss or damage to personal property, resulting from participation in dance classes. If a class is cancelled due to low enrollment, a full refund will be issued. Parent Guardian: ___________________________________________________ Printed: ___________________________________________________ Cost: 5 or 6 week session $75 per class (note: 5 week session has extended class time) Unlimited classes $200 /session Drop in fee $17 per class Date:_______________________ CSPA Summer 2015 June 29-August 7 (6 Weeks) ** Only runs for five weeks. Ends July 31. Monday Studio 1 Tuesday Studio 2 9:00-10:30** Level 2-3 Ballet Technique Kate 10:30-12:00** Level 4-5 Ballet Technique Kate 12:00-1:00** MDT Rehearsal (as needed) Kate 9:00-10:00 Zumba DeeDee 4:00-4:45 Commercial Jazz Level 2-3 Pam 4:45-5:30 Commercial Jazz Teen/Sr Teen Pam 5:30-6:30 Level 3+ Open Ballet Stretch/Strength Rhi 6:30-7:30 Ballet 1 Technique Rhi Studio 1 Wednesday Studio 1 Studio 2 9:00-9:30 Creative Movement Beth 9:00-10:00 Zumba ($5 Drop-in paid to instructor) DeeDee Friday Studio 1 Studio 1 11:00-1:00** Level 4-5 Technique with pointe Kate 3:15-4:00 Tap/Ballet Rhi 4:00-5:15 4:00-4:45 Level 1 Tumble Jess 4:45-5:30 Level 1 Acro/Tumble Marisa 4:45-5:45 Level 2 Tumble Jess 5:30-6:30 Level 2 Acro/Tumble Pam/Marisa 5:45-6:45 Level 3 Tumble Jess Open Ballet Advanced Beginner-Intermediate Rhi 5:15-6:00 Jumps, Leaps, and Turns Ballet Level 2+ Rhi 6:00-6:45 6:30-7:30 Level 3 Acro/Tumble Pam Thursday 9:00-11:00** Level 2-3 Technique (pre-pointe & pointe) Kate 9:30-10:15 Tap/Ballet Beth 4:00-4:45 Kiddie Tumble Marisa 6:30-7:30 Zumba ($5 Drop-in paid to instructor) DeeDee Studio 2 Lyrical/Jazz Technique & Intensive Ages 10-12 Rhi 6:45-7:45 Lyrical/Jazz Technique & Intensive Ages 13+ Rhi 4:00-4:45 Hip Hop Ages 6-9 Amanda 4:45-5:45 Hip Hop Ages 10-12 Amanda 5:45-6:45 Hip Hop Ages 13+ Amanda 6:30-7:30 Zumba ($5 Drop-in paid to instructor) DeeDee 9:00-10:00 Zumba ($5 Drop-in paid to instructor) DeeDee
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