Dance Troupe Registration

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STUDIO BE DANCE TROUPE REGISTRATION FORM Dancer Name__________________________________ Date of Birth_________________ Age__________________ School__________________________________ Home Phone________________________ Parent Cell Phone___________________ Mailing Address________________________________________________________ Parent Email Address____________________________________________________ I acknowledge that I am pledging membership to Studio BE, NFP Dance Troupe, a competitive dance team. I am responsible for individual competition fees as well as costume fees. I am also responsible for a $250 tuition fee that extends through December. I realize that commitment, dedication, and hard work will be required in order to be an asset to this team. I am aware that Studio BE is a positive environment, where I am encouraged to have fun and challenged to try new things. I acknowledge that this experience is as much about knowing me and others better as it is about becoming a spectacular performer and contributing to the success of my team. I rock. Dancer Signature____________________________________ Parent Signature_____________________________________ Date______________ Date______________ Checks can be made payable to Studio BE, NFP. Registration forms can be brought to rehearsal or faxed to 773.248.5901. Tuition is due by January 24th. Method of Payment: Cash _____ Check_____ Check #____________ Date:_______________ Amount:________________ tamara@studio-be.org aaron@studio-be.org www.studio-be.org 3110 North Sheffield Chicago, IL 60657 773.248.5900


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