2019-20 Dance Season Registration Form Our Registration fee is $50 per family and is due at the time of online registration. Parent* First Name Last Name Email Address* Phone*How many dancers are you registering?*1234Dancer 1* First Name Last Name Date of Birth* Date Format: MM slash DD slash YYYY Grade entering this upcoming school year?*pre-KK1st2nd3rd4th5th6th7th8th9th10th11th12thOtherDancer 1 Class Selection* Monday 3:30pm Ballet/Jazz/Tap II with Kelly (4 spots left) Monday 4:15pm Pre-Mini Ballet with Yvonne (3 spots left) Monday 5:00pm Pre-Mini Jazz with Kelly (4 spots left) Monday 5:45pm Pre-Mini Tap with Marcy (6 spots left) Monday 6:30pm Teen Ballet with Emily (11 spots left) Monday 7:30pm Teen Contemporary with Emily (8 spots left) Monday 8:15pm Teen Jazz with Molly (12 spots left) Monday 9:00pm Company Rotation Tuesday 10:30am Creative Movement I with Yvonne (5 spots left) Tuesday 11:15am Creative Movement II with Yvonne (3 spots left) Tuesday 3:30pm Ballet/Jazz/Tap I with Kelly (0 spots left) Tuesday 4:00pm Ballet/Jazz Prep with Kelly and Yvonne (0 spots left) Tuesday 5:00pm Kids Tap with Kelly (non recital) (7 spots left) Tuesday 5:15pm Kids Hip Hop with Kelly (0 spots left) Tuesday 5:45pm Mini Ballet with Yvonne (3 spots left) Tuesday 6:30pm Mini Jazz with Kelly (7 spots left) Tuesday 7:15pm Teen Tap with Kelly (12 spots left) Tuesday 8:00pm Teen Hip Hop with Kayla (0 spots left) Tuesday 8:45pm Teen Ballet/Jazz with Kayla (6 spots left) Wednesday 11:30am Creative Movement I with Yvonne (2 spots left) Wednesday 12:15pm Creative Movement II with Yvonne (0 spots left) Wednesday 3:45pm Ballet/Jazz/Tap III with Kelly (0 spots left) Wednesday 4:30pm Kids Hip Hop with Jen (0 spots left) Wednesday 5:00pm Ballet/Jazz/Tap Prep with Kelly and Yvonne (0 spots left) Wednesday 5:45pm Kids Hip-Hop with Kayla (0 spots left) Wednesday 6:15pm Sr's Ballet with Yvonne (3 spots left) Wednesday 7:15pm Sr's Jazz with Kelly (7 spots left) Wednesday 8:15pm Sr's Contemporary with Emily (7 spots left) Thursday 3:45pm Kids Hip Hop with Kayla (0 spots left) Thursday 4:30pm Jr’s Ballet with Yvonne (9 spots left) Thursday 5:30pm Pointe with Emily (invitation only) (0 spots left) Thursday 6:00pm Jr’s Jazz with Kelly (9 spots left) Thursday 7:00pm Jr's Tap with Kelly (10 spots left) Thursday 7:45pm Sr's/Competition Tap with Lisa (4 spots left) Thursday 8:30pm Sr's Hip Hop with Lisa (2 spots left) Friday 3:30pm Boys Tap with Kelly (10 spots left) Friday 4:00pm Boy’s Hip-Hop with Kayla (0 spots left) Friday 4:30pm Pre-Mini Hip-Hop with Kayla (6 spots left) Friday 5:15pm Mini Tap with Jen (3 spots left) Friday 6:00pm Mini Hip-Hop with Jen (0 spots left) Friday 6:45pm Jr's Hip Hop with Kayla (5 spots left) Friday 7:30pm Jr’s Contemporary with Kayla (10 spots left) Saturday 9:30am Creative Movement I with Sara (0 spots left) Saturday 10:00am Creative Movement II with Marcy (0 spots left) Saturday 10:30am Ballet/Jazz/Tap I with Marcy (0 spots left) Saturday 11:15am Ballet/Jazz/Tap II with Sara (4 spots left) Saturday 12:00pm Kids Hip-Hop (5-6) with Kayla (0 spots left) Saturday 12:30pm Ballet/Jazz/Tap III with Marcy (4 spots left) Saturday 1:15pm Ballet/Jazz/Tap Prep with Marcy (5 spots left) Saturday 2:15pm Kids Intermediate Hip Hop with Kayla (0 spots left) Saturday 3:00pm Ballet/Jazz with Kayla (6 spots left) Saturday 3:45pm Tap Technique with Hannah (5 spots left) Dancer 2* First Name Last Name Date of Birth (Dancer 2)* Date Format: MM slash DD slash YYYY Grade entering this upcoming school year?*pre-KK1st2nd3rd4th5th6th7th8th9th10th11th12thOtherDancer 2 Class Selection* Monday 3:30pm Ballet/Jazz/Tap II with Kelly (4 spots left) Monday 4:15pm Pre-Mini Ballet with Yvonne (3 spots left) Monday 5:00pm Pre-Mini Jazz with Kelly (4 spots left) Monday 5:45pm Pre-Mini Tap with Marcy (6 spots left) Monday 6:30pm Teen Ballet with Emily (11 spots left) Monday 7:30pm Teen Contemporary with Emily (8 spots left) Monday 8:15pm Teen Jazz with Molly (12 spots left) Monday 9:00pm Company Rotation Tuesday 10:30am Creative Movement I with Yvonne (5 spots left) Tuesday 11:15am Creative Movement II with Yvonne (3 spots left) Tuesday 3:30pm Ballet/Jazz/Tap I with Kelly (0 spots left) Tuesday 4:00pm Ballet/Jazz Prep with Kelly and Yvonne (0 spots left) Tuesday 5:00pm Kids Tap with Kelly (non recital) (7 spots left) Tuesday 5:15pm Kids Hip Hop with Kelly (0 spots left) Tuesday 5:45pm Mini Ballet with Yvonne (3 spots left) Tuesday 6:30pm Mini Jazz with Kelly (7 spots left) Tuesday 7:15pm Teen Tap with Kelly (12 spots left) Tuesday 8:00pm Teen Hip Hop with Kayla (0 spots left) Tuesday 8:45pm Teen Ballet/Jazz with Kayla (6 spots left) Wednesday 11:30am Creative Movement I with Yvonne (2 spots left) Wednesday 12:15pm Creative Movement II with Yvonne (0 spots left) Wednesday 3:45pm Ballet/Jazz/Tap III with Kelly (0 spots left) Wednesday 4:30pm Kids Hip Hop with Jen (0 spots left) Wednesday 5:00pm Ballet/Jazz/Tap Prep with Kelly and Yvonne (0 spots left) Wednesday 5:45pm Kids Hip-Hop with Kayla (0 spots left) Wednesday 6:15pm Sr's Ballet with Yvonne (3 spots left) Wednesday 7:15pm Sr's Jazz with Kelly (7 spots left) Wednesday 8:15pm Sr's Contemporary with Emily (7 spots left) Thursday 3:45pm Kids Hip Hop with Kayla (0 spots left) Thursday 4:30pm Jr’s Ballet with Yvonne (9 spots left) Thursday 5:30pm Pointe with Emily (invitation only) (0 spots left) Thursday 6:00pm Jr’s Jazz with Kelly (9 spots left) Thursday 7:00pm Jr's Tap with Kelly (10 spots left) Thursday 7:45pm Sr's/Competition Tap with Lisa (4 spots left) Thursday 8:30pm Sr's Hip Hop with Lisa (2 spots left) Friday 3:30pm Boys Tap with Kelly (10 spots left) Friday 4:00pm Boy’s Hip-Hop with Kayla (0 spots left) Friday 4:30pm Pre-Mini Hip-Hop with Kayla (6 spots left) Friday 5:15pm Mini Tap with Jen (3 spots left) Friday 6:00pm Mini Hip-Hop with Jen (0 spots left) Friday 6:45pm Jr's Hip Hop with Kayla (5 spots left) Friday 7:30pm Jr’s Contemporary with Kayla (10 spots left) Saturday 9:30am Creative Movement I with Sara (0 spots left) Saturday 10:00am Creative Movement II with Marcy (0 spots left) Saturday 10:30am Ballet/Jazz/Tap I with Marcy (0 spots left) Saturday 11:15am Ballet/Jazz/Tap II with Sara (4 spots left) Saturday 12:00pm Kids Hip-Hop (5-6) with Kayla (0 spots left) Saturday 12:30pm Ballet/Jazz/Tap III with Marcy (4 spots left) Saturday 1:15pm Ballet/Jazz/Tap Prep with Marcy (5 spots left) Saturday 2:15pm Kids Intermediate Hip Hop with Kayla (0 spots left) Saturday 3:00pm Ballet/Jazz with Kayla (6 spots left) Saturday 3:45pm Tap Technique with Hannah (5 spots left) Dancer 3* First Name Last Name Date of Birth (Dancer 3)* Date Format: MM slash DD slash YYYY Grade entering this upcoming school year?*pre-KK1st2nd3rd4th5th6th7th8th9th10th11th12thOtherDancer 3 Class Selection* Monday 3:30pm Ballet/Jazz/Tap II with Kelly (4 spots left) Monday 4:15pm Pre-Mini Ballet with Yvonne (3 spots left) Monday 5:00pm Pre-Mini Jazz with Kelly (4 spots left) Monday 5:45pm Pre-Mini Tap with Marcy (6 spots left) Monday 6:30pm Teen Ballet with Emily (11 spots left) Monday 7:30pm Teen Contemporary with Emily (8 spots left) Monday 8:15pm Teen Jazz with Molly (12 spots left) Monday 9:00pm Company Rotation Tuesday 10:30am Creative Movement I with Yvonne (5 spots left) Tuesday 11:15am Creative Movement II with Yvonne (3 spots left) Tuesday 3:30pm Ballet/Jazz/Tap I with Kelly (0 spots left) Tuesday 4:00pm Ballet/Jazz Prep with Kelly and Yvonne (0 spots left) Tuesday 5:00pm Kids Tap with Kelly (non recital) (7 spots left) Tuesday 5:15pm Kids Hip Hop with Kelly (0 spots left) Tuesday 5:45pm Mini Ballet with Yvonne (3 spots left) Tuesday 6:30pm Mini Jazz with Kelly (7 spots left) Tuesday 7:15pm Teen Tap with Kelly (12 spots left) Tuesday 8:00pm Teen Hip Hop with Kayla (0 spots left) Tuesday 8:45pm Teen Ballet/Jazz with Kayla (6 spots left) Wednesday 11:30am Creative Movement I with Yvonne (2 spots left) Wednesday 12:15pm Creative Movement II with Yvonne (0 spots left) Wednesday 3:45pm Ballet/Jazz/Tap III with Kelly (0 spots left) Wednesday 4:30pm Kids Hip Hop with Jen (0 spots left) Wednesday 5:00pm Ballet/Jazz/Tap Prep with Kelly and Yvonne (0 spots left) Wednesday 5:45pm Kids Hip-Hop with Kayla (0 spots left) Wednesday 6:15pm Sr's Ballet with Yvonne (3 spots left) Wednesday 7:15pm Sr's Jazz with Kelly (7 spots left) Wednesday 8:15pm Sr's Contemporary with Emily (7 spots left) Thursday 3:45pm Kids Hip Hop with Kayla (0 spots left) Thursday 4:30pm Jr’s Ballet with Yvonne (9 spots left) Thursday 5:30pm Pointe with Emily (invitation only) (0 spots left) Thursday 6:00pm Jr’s Jazz with Kelly (9 spots left) Thursday 7:00pm Jr's Tap with Kelly (10 spots left) Thursday 7:45pm Sr's/Competition Tap with Lisa (4 spots left) Thursday 8:30pm Sr's Hip Hop with Lisa (2 spots left) Friday 3:30pm Boys Tap with Kelly (10 spots left) Friday 4:00pm Boy’s Hip-Hop with Kayla (0 spots left) Friday 4:30pm Pre-Mini Hip-Hop with Kayla (6 spots left) Friday 5:15pm Mini Tap with Jen (3 spots left) Friday 6:00pm Mini Hip-Hop with Jen (0 spots left) Friday 6:45pm Jr's Hip Hop with Kayla (5 spots left) Friday 7:30pm Jr’s Contemporary with Kayla (10 spots left) Saturday 9:30am Creative Movement I with Sara (0 spots left) Saturday 10:00am Creative Movement II with Marcy (0 spots left) Saturday 10:30am Ballet/Jazz/Tap I with Marcy (0 spots left) Saturday 11:15am Ballet/Jazz/Tap II with Sara (4 spots left) Saturday 12:00pm Kids Hip-Hop (5-6) with Kayla (0 spots left) Saturday 12:30pm Ballet/Jazz/Tap III with Marcy (4 spots left) Saturday 1:15pm Ballet/Jazz/Tap Prep with Marcy (5 spots left) Saturday 2:15pm Kids Intermediate Hip Hop with Kayla (0 spots left) Saturday 3:00pm Ballet/Jazz with Kayla (6 spots left) Saturday 3:45pm Tap Technique with Hannah (5 spots left) Dancer 4* First Name Last Name Date of Birth (Dancer 4)* Date Format: MM slash DD slash YYYY Grade entering this upcoming school year?*pre-KK1st2nd3rd4th5th6th7th8th9th10th11th12thOtherDancer 4 Class Selection* Monday 3:30pm Ballet/Jazz/Tap II with Kelly (4 spots left) Monday 4:15pm Pre-Mini Ballet with Yvonne (3 spots left) Monday 5:00pm Pre-Mini Jazz with Kelly (4 spots left) Monday 5:45pm Pre-Mini Tap with Marcy (6 spots left) Monday 6:30pm Teen Ballet with Emily (11 spots left) Monday 7:30pm Teen Contemporary with Emily (8 spots left) Monday 8:15pm Teen Jazz with Molly (12 spots left) Monday 9:00pm Company Rotation Tuesday 10:30am Creative Movement I with Yvonne (5 spots left) Tuesday 11:15am Creative Movement II with Yvonne (3 spots left) Tuesday 3:30pm Ballet/Jazz/Tap I with Kelly (0 spots left) Tuesday 4:00pm Ballet/Jazz Prep with Kelly and Yvonne (0 spots left) Tuesday 5:00pm Kids Tap with Kelly (non recital) (7 spots left) Tuesday 5:15pm Kids Hip Hop with Kelly (0 spots left) Tuesday 5:45pm Mini Ballet with Yvonne (3 spots left) Tuesday 6:30pm Mini Jazz with Kelly (7 spots left) Tuesday 7:15pm Teen Tap with Kelly (12 spots left) Tuesday 8:00pm Teen Hip Hop with Kayla (0 spots left) Tuesday 8:45pm Teen Ballet/Jazz with Kayla (6 spots left) Wednesday 11:30am Creative Movement I with Yvonne (2 spots left) Wednesday 12:15pm Creative Movement II with Yvonne (0 spots left) Wednesday 3:45pm Ballet/Jazz/Tap III with Kelly (0 spots left) Wednesday 4:30pm Kids Hip Hop with Jen (0 spots left) Wednesday 5:00pm Ballet/Jazz/Tap Prep with Kelly and Yvonne (0 spots left) Wednesday 5:45pm Kids Hip-Hop with Kayla (0 spots left) Wednesday 6:15pm Sr's Ballet with Yvonne (3 spots left) Wednesday 7:15pm Sr's Jazz with Kelly (7 spots left) Wednesday 8:15pm Sr's Contemporary with Emily (7 spots left) Thursday 3:45pm Kids Hip Hop with Kayla (0 spots left) Thursday 4:30pm Jr’s Ballet with Yvonne (9 spots left) Thursday 5:30pm Pointe with Emily (invitation only) (0 spots left) Thursday 6:00pm Jr’s Jazz with Kelly (9 spots left) Thursday 7:00pm Jr's Tap with Kelly (10 spots left) Thursday 7:45pm Sr's/Competition Tap with Lisa (4 spots left) Thursday 8:30pm Sr's Hip Hop with Lisa (2 spots left) Friday 3:30pm Boys Tap with Kelly (10 spots left) Friday 4:00pm Boy’s Hip-Hop with Kayla (0 spots left) Friday 4:30pm Pre-Mini Hip-Hop with Kayla (6 spots left) Friday 5:15pm Mini Tap with Jen (3 spots left) Friday 6:00pm Mini Hip-Hop with Jen (0 spots left) Friday 6:45pm Jr's Hip Hop with Kayla (5 spots left) Friday 7:30pm Jr’s Contemporary with Kayla (10 spots left) Saturday 9:30am Creative Movement I with Sara (0 spots left) Saturday 10:00am Creative Movement II with Marcy (0 spots left) Saturday 10:30am Ballet/Jazz/Tap I with Marcy (0 spots left) Saturday 11:15am Ballet/Jazz/Tap II with Sara (4 spots left) Saturday 12:00pm Kids Hip-Hop (5-6) with Kayla (0 spots left) Saturday 12:30pm Ballet/Jazz/Tap III with Marcy (4 spots left) Saturday 1:15pm Ballet/Jazz/Tap Prep with Marcy (15 spots left) Saturday 2:15pm Kids Intermediate Hip Hop with Kayla (0 spots left) Saturday 3:00pm Ballet/Jazz with Kayla (6 spots left) Saturday 3:45pm Tap Technique with Kayla (5 spots left) Questions or CommentsRegistration Fee* Price: $50.00 Processing Fee $3.00 Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Sherry Martin Dance Terms of Service By checking the box below, you confirm that you have read and understood all Sherry Martin Dance information, policies, and pricing located on this website (click HERE to read). Students, family and staff assume personal responsibility for participation in our dance program. Photographs may be used for advertising purposes. I understand that Sherry Martin Dance is not responsible for any injuries sustained prior to the beginning of classes. I recognize that my child's participation may expose him or her to the risk of injury or harm. I accept the risk and hereby release Sherry Martin Dance and all employees from all liability from personal injury, illness or property damage incurring during instruction or performance. I certify that my child is in good health and capable of participating in all activities and classes. Sherry Martin Dance is not responsible for any lost, stolen or damaged items. If your account is in arrears more than 30 days, your child's participation will be in jeopardy regarding regularly scheduled dance classes and any performances (including competition).* I have read and agreed to the terms above. 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