Please complete the following:   

Student's First Name   Student's Last Name

Nickname Sex:   Female    Male

Date of Birth   Age  

Academic School   Grade

Mother’s Name    Mother's Cell Phone

Father’s Name    Father's Cell Phone

Mailing Address

City   State   Zip   

Home Phone

Preferred Contact Email

Does your child take medication or have any medical, learning or other special considerations? Yes    No

If yes, what type(s) of medication?

How did you hear about us? Please check all that apply.  Word of Mouth    Former Student   Newspaper Ad    Other

Class Selection (birthday cut-off: must be required age by September 1st)

Ages 8-10, Fall Semester
    Ballet Technique   $210              
          Mon.  6:30pm – 7:30pm
    Tap II                              $210
          Mon.  7:30pm – 8:30pm 
    Modern Technique          $210
          Wed. 6:30-7:30pm
   Musical Theater/Jazz          $210
          Wed. 7:30-8:30pm
   Hip-Hop          $210
          Sat. 12:45-1:30pm (Girls 7-10)
Sat. 1:30-2:15pm (Boys 7-10)

                      
Ages 11-15 Fall Semester
   Ballet Technique             $210
         Tues.   6:30pm – 7:30pm
   Tap III                   $210
        Tues.   7:30pm – 8:30pm
 Hip-Hop                   $210
        Thurs.   6:45pm – 7:45pm
   Musical Theater/Jazz              $210
         Thurs.  7:45pm – 8:45pm
   Advanced Ballet             $280
         Sat. 10:00-11:30am (Ages 15+)

.Tuition and Fees

Tuition
(Refund policy: 100% after first class, 50% after second class)

Discount (10% for second and third class)

Annual Registration Fee $25

Total

Full payment is due upon registration.
Please make check payable to Indiana University or ask for a form to pay by Credit Card.

Please email questions to swindell@indiana.edu.