Waiting List
2023-2024 New Bremen Dance Waiting List Form
Students Name: ______________________________________________________
Parents Name: ______________________________________________________
Address: ________________________________ City:______________________ Zip: ______
Email Address: ___________________________________ Phone Number: _____________________
Birth date: _______________ Age (as of 7-31-2023): _________ Grade entering (as of fall 2023): ________
What class would student like to enroll in?
| ____ Combination Dance class (age 6 and up) | ____ Introduction to dance class (age 3 1/2 to 5) |
| ____ Girls tumbling class (age 4 and up) | ____ Ballet class (age 10 and up – prerequisite for Pointe class) |
| ____ Pointe class |
_____________________________________________________________________________________
• What previous experience has the student had in dance or gymnastics? (where, how long, etc.)
_____________________________________________________________________________________
• The student cannot take lessons on the following days or times:
_____________________________________________________________________________________
Parents Signature ______________________________________________________
Please mail this form in right away. The sooner you mail it, the better chance your child has of securing a spot in a dance or tumbling class.
Return to: Lynda R. Davis | 232 S Washington Street | New Bremen, Ohio 45869-1251 | 419-234-0630