2010-2011 ‘Bumble Bee & Butterfly’ Ballet
Registration Form

Classes held at:

Love 2 Be Fit Studio, LTD

The Shoppes at Pickering Mill

1600 Yellow Springs Road

Chester Springs, PA 19425

  *First session payment and completed registration form must be mailed to the above address, to secure a spot in the desired class time.

*Spots will be filled on a ‘first come – first served basis’.  *Classes begin Friday, September 10^th & Saturday, September 11^th.

*Classes may be combined/adjusted after the first session, due to low attendance/enrollment in any one particular class level/day/time.

*Checks should be made out to Love 2 Be Fit studio. 
*No refunds

Name of Student______________________________ 

Age____ 

Birth date______________________

 


Name of 2^nd Student____________________________

Age____ 

Birth date______________________

Parent’s names_____________________________ 

Email address_____________________________

Home mailing address______________________

_______________________________________

Home #____________________

Cell #_____________________ 

Emergency #__________________

* I give ‘Love 2 Be Fit’ consent to use my child’s photo in print advertisement and/or on their website.     ___Yes    ___ No

I wish to enroll my child(ren) in the following class(es):

‘Bumble Bee’ Pre-Ballet I  (Pre I)  45 minutes

Ages 3 through 4 (must be 3 by September)

____Pre I  Fridays 3:15-4:00pm

____Pre I  Saturdays 11:30am-12:15pm

‘Bumble Bee’ Pre-Ballet II  (Pre II)  50 minutes

Ages 4 through 5 (must be 4 by September)

____Pre II  Fridays 2:00-2:50pm

____Pre II  Fridays 5:45-6:35pm

‘Butterfly Ballet’ Ballet I  (Ballet I)  Full 1 hour Ballet class

- with (optional) additional ½ hour Jazz

Ages 6 through 8

____Ballet I  Fridays 4:10-5:10pm  ____w/Jazz  5:10-5:40pm

      ____Ballet I  Saturdays 12:20-1:20pm ____w/Jazz  1:20-1:50pm

Please find enclosed, a check in the amount of $_____.___  (First session tuition payment)

$110 per 7 week session  (Pre I, Pre II & Ballet I)

$88 for second child  (20% sibling discount-Pre I, II and Ballet I)

$55 per 7 week session (Jazz...no discounts offered on Jazz program)

*Please contact Lori Williams at 610.389.5098 – or – lorilynnwilliams@comcast.net with any questions regarding the program, tuition, or class level placement.