A2J Crew Summer Intensive Pre-Registration Form 2018

A2J Crew Summer Intensive Program
18 South 6th Street

Zanesville, OH, 43701
http://www.a2jcrew.com

Dancer Information

First Name *

Last Name *

Gender *

Birth Date * +

Grade *

Please indicate which classes you will be signing up for by selecting the boxes below. *

Are you enrolling as a new dancer to the A2J Crew Dance Kompany? *

Yes

No

Look below for pricing of individual summer classes.

Ballet/Pointe= $30/month (if this is your only class)
$25/month (if you are already enrolled in other classes)
Tiny Tot= $50/eight week session
Alternate Class= $15/class
$40 for all eight weeks
Competition Fitness/Strength Training/Cardio= $50/month or $100 for all summer
Acro= $30/month (if this is your only class)
$25/month (if you are already enrolled in other classes)

Have you already been added to our private Facebook pages? *

Yes

No

If not, please provide your Facebook username below, so we can add you! *

Household / Adult Primary Contact

Relationship to Dancer: *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Alternate Phone

Email Address *

COUPON CODE: summerintensive2018

To receive a $5 off coupon for preregistering for our 2018 summer intensive classes, submit the coupon code above.

***$5 will be taken off your total balance when you submit your payment at the front desk the first week of classes (May 30, 2018).
***EACH DANCER REGISTERING MUST FILL OUT A SEPARATE REGISTRATION TO RECIEVE THE $5 OFF COUPON.

**Payments can be made payable to the A2J Crew Dance Kompany through cash or check.

**Payments are due the first day of summer classes (the week of May 30, 2018), and the second month's tuition will be due the week of June 21, 2018.

**SEE THE LINK BELOW FOR MORE DETAILED INFORMATION ON START DATES OF CLASSES!

http://www.a2jcrew.com