Registration Form

***Please print, mail and send with registration fee of $25 (new students). Previous students register on Parent Portal***


Parent/Guardian:______________________________________________________________________________

Address:_______________________________________________________________

___________________________________________ E-mail:__________________________________________

Phone Number: __________________________________

Child 1:____________________________________     

Age:________          D.O.B. ____________          Grade:________


Classes:           Tap              Ballet               Jazz (6+)             Jazz/Hip-Hip (9+)        Ballet/Lyrical (9+)  

Child 2:____________________________________

Age:________          D.O.B. ____________          Grade:________


Classes:         Tap              Ballet               Jazz (6+)              Jazz/HH (9+)           Ballet/Lyrical (9+)        

Child 3:____________________________________

Age:________          D.O.B. ____________          Grade:________


Classes:                Tap                Ballet                Jazz (6+)           Jazz/HH (9+)           Ballet/Lyrical (9+)


Schedule (Tent):                Mon: 9-11yo                Tue: 3-5yo & Adults                Wed: 6-9yo                Thur: HS & JRH

Adult Lessons: (over 18)      Tap         Jazz/HH         Ballet         Line Dancing         Couples         Hula Hooping      Drumming


Comments/Questions:_____________________________________________________________________________

______________________________________________________________________________________________

Send to:
Nicole's School of Dance
116 Meadowhill Rd
Manchester, ME 04351
                            Registration Deadline: September 1st.
***There is a non-refundable registration fee of $25 for new students only***