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Student Name: ___________________________

Parent or Guardian Name: ________________________________

Address: _____________________________________

City:  _______________________

Phone numbers: _______________________________________

Age: ______________________________

Years of dance taken: _____________________________

What schools: _________________________________

T-shirt size: _____________________________ (One-time registration fee includes fall T-shirt and show shirt)

Classes you are interested in: _______________________________________

Times you prefer: ________________________________________

How did you find out about us? ____________________________________

Prices: 1 Hour of Dance - $40, 1 1/2 Hours - $52, 2 Hours - $64, 2 1/2 Hours - $78, 3 Hours - $90, from this point on the increase per half hour is $12. Registration is $25.00 and includes T-Shirt. No Set Costume Deposit is required, that will decide that on a class by class basis. Recital is in Feburary and free to the public. Any questions please feel free to call.
The Dancer Within -- Registration Form
Print form, fill out and mail to The Dancer Within, 803 8th Ave. Huntington WV, 25701. Call 304-525-0880 to inquire about registration fees. Fees due on first day of class.