SUMMERREGISTER

Vibe Performing Arts

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* Indicates required field

Student Name *

First

Last

Date of Birth *

Age *

Years Experience *

Prior Stuido(s) *

Daytime Classes

9:00 - 10:00 *

Option 1 Option 2 Option 3

10:00-11:00 *

None Beginner Ballet (NE) Jr Jazz

11:00 - 12:00 *

None Beginner Jazz/hip hop/tap HV B/I 1&2 ballet NE

12:00 - 1:00 *

None Int Adv Pointe NE B/I 1&2 jazz HV

1:00 - 2:00 *

None Int/Adv ballet HV B/I 3 Ballet NE

2:00 - 3:00 *

None B/I 3, Int, Adv Conditioning, Strenthening & Technique HV B/I 1&2 Stretch turn and jump SF option4

3:00 - 4:00 *

None Jr. Tumbling DG, HV, SF, JS , NE (All Ages) option3

4:00 - 5:00 *

None B/I 1 & 2 jazz, hip hop, lyrical COMBO DG

Evening Classes

5:00- 6:00 *

None B/I 3, Int jazz, hip hop, lyrical DG next step JS

Adult ZUMBA will be offered this hour.

6:00 - 7:00 *

None B/I 3, Int, Adv Stretch turn and jump DG Tap 3- Int/Adv SF

Adult Pilates will be Offered this hour

7:00-8:00 *

None B/I 3 Int, Adv jaz/hip hop COMBO DG

8:00 - 9:00 *

None Junior 2, Int, Adv .jazz/hip hop COMBO (DG/SF)

Mother's Name *

First

Last

Primary Email *

Primary Phone Number *

Primary Address *

Line 1

Line 2

City

State

Zip Code

Country

Please specify any special conditions or allergies. *

Father's Name *

First

Last

Secondary Email *

Secondary Phone Number *

Secondary Address *

Line 1

Line 2

City

State

Zip Code

Country

Medical Consent *

I Agree

Media Release *

I Agree

I approve of my child’s participation in Vibe Performing Arts programs, and certify that he/she is in good health and able to participate in the program. If medical attention is required for illness or injury, I grant permission for such care to be rendered.

I authorize images and videos to be posted on websites and social media that may be taken during events coordinated through Vibe Performing Arts.

Number of Classes *

Tuition (Due July 15) *

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