ACADEMY LEVELS 3a to 4b – Sign-up

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

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Dancer Name *

First

Last

Gender *

• Female
• Male

List your dancers experience *

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

Date of Birth *

Parent / Guardian Name *

First

Last

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email *

Phone *

Select Program Your or Your Dancer Would Like to Attend *

• Monthly Payment 278.50 (10-Payments)
• One Time Payment in Full $2,785.00

Is your dancer new or reoccurring? *

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

dancers List Question

Checkboxes *

• 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.

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