SATURDAY 1:00 PM Beginning Hip-Hop – Sign-up
6 Years & Up

MSAD-SCB classes run September 8th through June 4th

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Dancer Name *

First

Last

Parent/Guardian (if under 18) *

First

Last

Date of Birth *

Email *

Gender *

• Female
• Male

Numbers

Address *

Address Line 1

Address Line 2

City

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Zip Code

List your dancers experience *

Please provide a short list of your or your dancers experience and training

Parent / Guardian Name *

First

Last

How many years of dance taken

Selected Value: 0

Former studio and dance level

Select Program Your or Your Dancer Would Like to Attend *

• Monthly Payment $62.00 (10-Payments)
• One Time Payment in Full $620.00 (Best Value)

Is your dancer new or reoccurring? *

• New Student Registration Fee $40.00
• Reoccurring Student Registration Fee $35.00

Check All *

• MainStage Academy of Dance–SCB’s Terms and Conditions as outlined.
• My child and I are required to follow MSAD-SCB’s Student Handbook.
• I am required to complete and sign an in-studio Registration / Terms & Conditions Form before classes may begin.
• Classes that do not meet minimum enrollment may be cancelled or combined. Tuition credits or refunds will be provided to those already registered.

Former Gender or

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