Waiting List

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2020 New Bremen Dance Waiting List Form

Students Name: ______________________________________________________

Parents Name: ______________________________________________________

Address: ________________________________ City:______________________ Zip: ______

Email Address: ___________________________________ Phone Number: _____________________

Birth date (as of 7-31 2020/2021 year): _______________ Age: _________ Grade: ________

 

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 -“toe shoes”)
____ Pointe class

 

• Where did you hear about New Bremen Dance School?

_____________________________________________________________________________________

• 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  |  419-629-3006