Student’s Name ___________________ Age _______ B-day _______ d/m/y
Parents Name(s) __________________  

Address  _________________________________  Postal Code  _____________
Phone # __________________  Cell #___________________
E-mail __________________  Medical Information :_______________________

3 Week Summer Programs

Micro Program ages 5 to 7 - $130 / 3 weeks
Jazz Tech / Tumbling & Body Conditioning / Ballet
Tues 4:30 – 7:30 > July 6th, 13th, 20th     or     August 10th, 17th, 24th

Mini Program / Pre-Comp Program - $130 / 3 weeks
Tumbling & Body Conditioning / Jazz Tech / Ballet
Tues 4:30 – 7:30 > July 6th, 13th, 20th     or     August 10th, 17th, 24th

Junior Program - $180 (Jazz, Ballet, Open) $300 includes acro and circus
Jr Jazz & Turning Tech / Ballet
Mon 4:30 – 6:30 >  July 5th, 12th, 19th     or     August 9th, 16th, 23rd
Jr Jazz & Turning Tech / Open Class / Circus Aerial
Wed 4:30 – 7:30 >  July 7th 14th, 21st      or     August 11th, 18th, 25th
Circus Aerial / Acro
Thur 4:30 – 6:30 >  July 8th, 15th, 22nd     or     August 12th, 19th, 26th

Inter/Sr Program - $180 (Jazz, Ballet, Open) $300 includes acro and circus
Ballet / Jazz / Circus Aerial
Mon 4:30 – 7:30 >  July 5th, 12th, 19th      or     August 9th, 16th, 23rd

Circus Aerial (Gold’s Gym) – extra $60
Tues 6:30 – 7:30 >  July 6th, 13th, 20th     or     August 10th, 17th, 24th

Open Class / Jazz & Turning Tech
Wed 5:30 – 6:30 >  July 7th ,14th ,21st      or     August 11th, 18th, 25th
Acro / Circus Aerial (Gold’s Gym)
Thurs 4:30 – 7:30 > July 8th ,15th ,22nd or    August 12th, 19th, 26th