Required: Please print and complete this Registration Form and the NMDA Policy Form.

Registration Form, Northern Michigan Dance Academy, 2008-2009 School Year

For extra space, to clarify anything, or to comment, please use the back of this page.

Name(s): ______________________________________________________________________________________

Birthdate(s): _________________________________________________ Age(s): _______________________

Phone numbers (home & emergency): _____________________________________________________________

Street address: _______________________________________________________________________________

City: ____________________________________________________________ State: _____________________

School(s) attended:____________________________________________________________________________

       Days & times: __________________________________________________________________________

After-school commitments: _____________________________________________________________________

       Days & times: __________________________________________________________________________

Parents' names: _______________________________________________________________________________

Fees for Individual Classes (except where indicated) ... 40-minute class: $8 ... 1-hour class: $10 ... 2-hour class: $20

NMDA class schedule:

NOTE: Instructors Beth (906-774-8647) and Kelly (906-774-3567) will always determine entry to the appropriate skill level.

Wee Rhythm & Movement: (ages 2-4) 1 hr/wk  Tues. 4:15-5:15
Music & Movement
:(newborn-5) accompanied by an adult.  10 wk session $120 Mon.  5:00pm-5:45pm.
Pre-Ballet: (ages 3-5) Mon. 4:30-5:10 or Tues 4:45-5:25 1x per week
Ballet: (ages 6-10) Wed. 5:15pm-6:15pm. 1x per week
Ballet: (ages 10-16) Mon. and Wed. 3:50pm-4:50pm 2x per week.
Ballet: (ages 12-18) Mon. 5:30pm-7:30pm and Wed. 6:15pm-8:15pm 2x per week.
Pre-Jazz: (ages 3-6) Wed. 5:30pm-6:10pm
Pre-Jazz & Tap Combo: (ages 3 -6) Mon. 6:00pm-6:40pm
Jazz & Tap Combo: (ages 6-11) Tues 3:30pm-4:10pm
Jazz: (ages 6-11) Tues. 3:50pm-4:30pm
Jazz & Tap Combo: (ages 12-18) Wed. 5:30pm-6:10pm

: (ages 4-7) Thurs. 4:00pm-4:40pm, ages (8-12) Thurs. 4:50pm-5:50.
Yoga: (11-Adult) Morning classes Tues & Fri 9:30am-10:30am . Tues evenings 5:30pm-6:45pm.  $55 for 10 classes or $6 per class. No registration fee.  Beth Provencher, certified yoga instructor.
Adult Couples Social Dancing: 6 week sessions $60 per couple/session. No registration fee.  Call for session dates.

Name: ______________________ is registering for ______________________________________________.

Name: ______________________ is registering for ______________________________________________.

Name: ______________________ is registering for ______________________________________________.

Name: ______________________ is registering for ______________________________________________.

Also required: Please print, read, and sign the NMDA Policy Form.  No one will be registered without a completed Registration Form, signed NMDA Policy Form, and payment of the registration fee of $25.00 per person.  Please continue.

For each class's starting date, please phone 906-774-0790 or <email> the office manager.