Summer 2012 Registration Form for Returning Students

Heritage Irish Stepdancers

Name(s)____________________________________               Age(s)_______

Class Level (s)______________________________

I would like to register for the following classes: ( please list class day, level, and time)

May (May 1-27):___­­­­­______________________________________________

________________________________________________________________

June (May 30-June 24):____________________________________________

________________________________________________________________

July (July 8-Aug 4):____________________________________________

_______________________________________________________________

August (August 5-September 1):_____________________________________

_______________________________________________________________

I would like to register for the following camps (note: if you are using a

Camp for a make-up, sign up in the purple notebook rather than on this

Form.   Register on this form only if you are paying for the camp):

Please list camp dates that you will be attending.

_______________________________________________________________

_______________________________________________________________

I understand that once I register, tuition is due in full for the above classes and camps even if my plans change and I am unable to attend (but I am entitled to make-up lessons for any classes I miss).   I understand that I need to call or email Heritage to schedule make-up lessons.   I understand that tuition for each month is due at my first class of that month.

_______________________________________________________________

Signature (of parent or guardian if dancer under 18)                   Date

You can email your registration back to us at HeritageIrish@aol.com, or you can drop your registration in the box in the lobby, or mail it to us at Heritage Irish Stepdancers, 1944 S. Quebec Street, Denver, CO, 80231.   You will receive a confirmation.   Thanks! Form due by April 21.