SUMMER PROGRAM 2021 SUMMER PROGRAMREGISTRATION FORM Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastDate of Birth *Parent's Name *FirstLastEmail *Phone *School *Address2ND EMERGENCY NAME: *2ND EMERGENCY CONTACT: *How did you hear about us? *Enroll in - Mommy&Me+Pre-Ballet （2-4yrs）Tuesday [3-3:30pm] : Mommy&MeThursday [3-3:30pm] : Mommy&MeTuesday [3:30-4:00pm] : Pre-BalletThursday [3:30-4:00pm] : Pre-BalletEnroll in - Level 1(5-7yrs)Monday [5-6pm] : Technique 1(Strength&Conditioning; Leaps&Turns)Tuesday [4-5pm] : Tap 1Tuesday [5-6pm] : Ballet 1Wednesday [5-6pm] : Jazz 1Thursday [4-5pm] : Contemporary 1Thursday [5-6:00pm] : Hip Hop 1Saturday [9-10am] : Acro 1-2Enroll in - Level 2 (8-11yrs) Monday [4-5pm] : Ballet 2 (Basic) Tuesday [5-6pm] : Jazz 2Tuesday [6-7pm] : Tap 2Wednesday [6-7pm] : Technique 2Wednesday [7-8pm] : KpopThursday [5-6pm] : Contemporary 2Thursday [6-7pm] : Hip Hop 2Friday [2:30-4:00pm] : Ballet 2Saturday [9-10am] : Acro 1-2Saturday [10:30am-12pm] : Pre-PointeEnroll in - Level 3 &4 (12+yrs) Monday [6-7pm] : Contemporary 3Tuesday [6-7pm] : Jazz 3-4Tuesday [7-8pm] : Tap 3-4Wednesday [7-8pm] : K-popFriday [4-5:30pm] : Ballet 3Friday [5:30-6:30pm] : Technique 3 (Strength&Conditioning; Leaps&Turns)Saturday [10:30am-12pm] : Pre-PointeEnroll in - Adult Classes (18+yrs)Monday [7-8pm] : Yoga (online)Friday [7-8pm] : Yoga (online)Wednesday [7-8pm] : Adult BalletWednesday [8:30-9:15pm] : Adult Folkloric(Online Only)Friday [ 7-8:30] : Latin Cardio & SalsaYou want to Enroll in Summer program for In - person ClassVirtual ClassIf you want to Enroll in *Competition TeamPerformance TeamPrivate ClassSummer Camps2021 May RecitalNone of AboveIf you want to Join 2021 May Recital *YesNoNot sure yetMeasurements(Please list student's Height, Girth, Tights Size, Shoe Size, Inseam&Leotard Size) *All students need to order costumes for your class at different levels to follow our dress code. Please check if you give us permission to take photographs of your child for our gallery, website, and social media. *YesNoHow do you want to pay *Current students: Full 12 weeks Summer ProgramNew students: Full 12 weeks summer Program + $30 annual registration feeMedical: AllergiesSignature *Clear SignatureI/we agree Legal Release and Policy Acceptance from Athena Dance Academy: I/we understand the Studio Policies; I/we understand my billing obligations; I/we understand the risks related to dance; I/we understand my responsibilities for my property; I/we understand the dress code; I/we understand the schedule; I/we give media use rights permission; I/we understand the attendance policyThank you for your interests for Athena Dance Academy! We will be in touch with you shortly for payment and class details. Comments or Questions? Contact us: Email：contact@athenadanceacademy.org website:www.athenadanceacademy.org Phone: 281-809-3362Submit
