BEYOND Performing Arts Classes
February 6 - April 30 2016 | Per Week Costs:
45 minute classes:
$40/month Check/Cash $41.50/CC/DC/Paypal
60 minute classes:
$50/mo Check/Cash $51.80/CC/DC/Paypal
90 minute classes:
$60/month Check/Cash $62.10/CC/DC/Paypal
2-hour class:
$80/month Check/Cash $82.70/CC/DC/Paypal
Sibling Discount: 10% (Applies to 2nd child and thereafter)
Please fill out this form and click submit.
Warning!
This form cannot be submitted until an administrator completes the setup process to receive online payments.
DREAM IT! * BELIEVE IT! * LIVE IT!
Classes are for Adults & Children
Dance: Pre-Ballet & Ballet/Liturgical/Contemporary
Voice: Beginning & Intermediate
Name
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Email
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Phone
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Address
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Registration
New Registrants
*
Please select one option.
$30.00 Check/Cash
$31.20 CC/DC/Paypal
Previous Students
*
Please select all that apply.
$15.00 Check/Cash
$15.76 CC/DC/Paypal
T-Shirt Size (Adult)
*
Please select one option.
Small
Medium
Large
X-Large
2XL
3XL
Select Option
Small
Medium
Large
X-Large
2XL
3XL
T-Shirt Size (Children)
*
Please select one option.
Small
Medium
Large
X-Large
Select Option
Small
Medium
Large
X-Large
Note: Children T-Shirt Sizes: S=2-4yrs; M=6-8yrs; L=10-12yrs; XL=Same as Adult Small
Per Week
Option
45 minute classes $40.00
45 minute classes $41.50
60 minute classes $50.00
60 minute classes $51.80
90 minute classes $60.00
90 minute classes $62.10
2-hour classes $80.00
2-hour classes $82.70
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
February 6 - April 30 2016
Per Week Costs:
45 minute classes:
$40/month Check/Cash $41.50/CC/DC/Paypal
60 minute classes:
$50/mo Check/Cash $51.80/CC/DC/Paypal
90 minute classes:
$60/month Check/Cash $62.10/CC/DC/Paypal
2-hour class:
$80/month Check/Cash $82.70/CC/DC/Paypal
Sibling Discount: 10% (Applies to 2nd child and thereafter)
Please fill out this form and click submit.
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