Anaconda Dance

406-498-3458 2105 So. Wyoming St., Butte, 59701 2011-2012 Registration and Information Form

Dancer Information
(Please complete a separate form for each dancer)

Dancer Name Parent/Guardian Names Primary Phone Number Class(es) registering for Goosetown Racquetball and Athletic Club Member (circle one): Yes

Age

DOB

Secondary Phone Number

No

Billing Information
Individual responsible for paying tuition Billing Address Billing Phone Number Billing Email Address

Other dancers that this person will be paying for Return this completed form to keri_petritz@hotmail.com or 2105 South Wyoming St. Butte, MT 59701

Class Information
Payment Options** Class
Creative Movement Combined Jazz, Hip Hop, Ballet Jazz I

Criteria*
All 3-4 year olds Lower Elementary

Day***
Wednesday Monday

Time
3:45-4:30 3:30-4:30

Monthly

One-time, Upfront payment

What you save with one-time payment

$30 $40

$195 $260

$15 $20

Upper Elementary Monday 4:30-5:30 $40 $260 $20 Junior High/ Jazz II Monday 6:00-7:00 $40 $260 $20 High School Advanced dancers Jazz III Monday 7:30-8:30 $40 $260 $20 only Ballet I Lower Elementary Monday 5:30-6:00 $20 $130 $10 Ballet II Upper Elementary Monday 7:00-7:30 $20 $130 $10 Advanced dancers Ballet III Monday 8:30-9:15 $30 $195 $15 only *Dancers ages 7 and up will be placed into classes based upon ability level. th ** If monthly option is chosen, payment is due by the 5 of every month. One-time, upfront payment is due by the end of October. ** Goosetown members receive 25% off of their bill. A 10% family discount is available for non-Goosetown members. ***All classes are taught in the Goosetown Training Room with the exception of Creative Movement. Creative Movement will be taught in the aerobics room.

Anaconda Dance
406-498-3458 2105 So. Wyoming St., Butte, 59701 2011-2012 Registration and Information Form

Class Apparel and Costumes

Class Apparel Shoes* Clothes that are easy to move in. No jeans. Black Jazz Shoes Hair pulled back. Ballet classes Prefer tights, leotard, ballet skirt is okay. Pink Ballet Shoes Hair in bun. Creative Movement Clothes that are easy to move in. No jeans. Black Jazz Shoes class Hair pulled back. Combined Jazz, Hip Clothes that are easy to move in. No jeans. Black Jazz Shoes and Pink Ballet Hop, Ballet class Hair pulled back. Shoes *Dance shoes are available at Payless Shoes, Thomas Family Apparel and online. Purchase these ASAP. Jazz/Hip Hop classes Costumes will be ordered by mid-November. Expect to pay anywhere from $50- $70 for a costume. I will try to find cheaper, but no promises! I will be collecting the costume money end of October or beginning of November.

2011-2012 Calendar
Week starting October 3 October 10 October 17 October 24 October 31 November 7 November 14 November 21 November 28 December 5 December 12 December 19 December 26 January 2 January 9 January 16 January 23

1 2 3 4 5 6 7 8 9 10 11

No class School PIR day

14 15 16 17 18 19 20 21 22 23 24 25

No class Christmas No class New Year No classes held/Keri gone

12 13

January 30 February 6 February 13 February 20 February 27 March 5 March 12 March 19 March 26 April 2 April 9 April 16 April 23 Last Week in April

No class Spring Break

Dress Rehearsal and Dance Recital

25 total weeks of dance for 2011-2012. Monthly payment is calculated for a 7-month year (October-April).