REGISTRATION
Our Schedule
Contact Page
Registration Form
EVENTS
Baker School of Dance, Buzzards Bay, MA
Dance Blog
Summer Session
Slide Show
What's New Page
Competition Class Schedule
Baker School of Dance Registration Form
Date:________________
Student Name__________________________________Birthdate___________________
Parents
Names_______________________________________Home phone_______________
Mailing
Address___________________________ __Zip________Cell phone______________
Billing
Address__________________________________Emergency Phone___________
E-Mail Address:______________________________________________________________________
Class(es)
Enrolled_________________________________________________Cost/month
__________________________________________________________________________________________________________________________
Child #2
Name____________________________________________________Birthdate___________________
Students
Shoe Size______________Pants size______________Shirt Size___________Grade________________
Class(es)
Enrolled_________________________________________________Cost/month
__________________________________________________________________________________________________________________________
Child #3
Name____________________________________________________Birthdate___________________
Students
Shoe Size______________Pants size______________Shirt Size___________Grade________________
Class(es)
Enrolled__________________________________________________Cost/month_
_________Please charge my : Mastercard Visa (circle one) on the first week of the month for Monthly charges. I will pay for costumes separately. Card #____________________________Exp.___
_________________________________________________________________________________________________
I have read the rules of the school and have gone over them with my child(ren). I understand that classes are billed on a monthly basis, due the first week of the month even if I do not receive my statement on time. I will notify the studio in writing if my child stops attending classes. My child will respect classmates and instructors. I will not hold the Baker School of Dance or any of it’s instructors responsible for any injury to my child while in class or while waiting for class, and understand that if my child is disrespectful or misbehaves that s(he) will be removed from class.
Parent
Signature_____________________________________Reg. Fee enclosed
Please mail to: Lisa Simmons, 37 Monroe St., Buzzards Bay, MA 02532
Date:________________
Student Name__________________________________Birthdate___________________
Parents
Names_______________________________________Home phone_______________
Mailing
Address___________________________ __Zip________Cell phone______________
Billing
Address__________________________________Emergency Phone___________
E-Mail Address:______________________________________________________________________
Class(es)
Enrolled_________________________________________________Cost/month
__________________________________________________________________________________________________________________________
Child #2
Name____________________________________________________Birthdate___________________
Students
Shoe Size______________Pants size______________Shirt Size___________Grade________________
Class(es)
Enrolled_________________________________________________Cost/month
__________________________________________________________________________________________________________________________
Child #3
Name____________________________________________________Birthdate___________________
Students
Shoe Size______________Pants size______________Shirt Size___________Grade________________
Class(es)
Enrolled__________________________________________________Cost/month_
_________Please charge my : Mastercard Visa (circle one) on the first week of the month for Monthly charges. I will pay for costumes separately. Card #____________________________Exp.___
_________________________________________________________________________________________________
I have read the rules of the school and have gone over them with my child(ren). I understand that classes are billed on a monthly basis, due the first week of the month even if I do not receive my statement on time. I will notify the studio in writing if my child stops attending classes. My child will respect classmates and instructors. I will not hold the Baker School of Dance or any of it’s instructors responsible for any injury to my child while in class or while waiting for class, and understand that if my child is disrespectful or misbehaves that s(he) will be removed from class.
Parent
Signature_____________________________________Reg. Fee enclosed
Please mail to: Lisa Simmons, 37 Monroe St., Buzzards Bay, MA 02532