Summer Registration Form

The Beat Goes On All Summer Long

4 WEEK SUMMER SESSION

          July 7th – July 31st

Under the direction of Roseann Mastrogiacomo Gatto,

Bachelor Fine Arts Degree in Dance

A $25.00 deposit is required to reserve a place in class with the
balance due by the first class.

 Name:  ___________________________________________

Address:  __________________________________________

                   __________________________________________

Phone:  ____________________________________________

Child’s Birthdate:  ____________________________________

______ Creative I Camp

_______Creative II Camp

_______Ballet, Jazz and Tap Camp

_______7 to 9 year old Camp

________10 to 12 Camp

________13 and up Camp

_______Creative I Class Only

_______Creative II Class Only

_______Ballet, Tap and Jazz Class Only

_______Ballet

_______Jazz

_______St. Jazz

_______Tap

Mail to:  Chez Dance Studio, 224 Fries Mill Road, Turnersville, NJ  08012

Fax to:  856-875-4481

E-mail to:  chezdance2424@aol.com

 

 

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