KIDS CLASSES MONROE ST MARKET ARTS WALK
Child’s Name Age Parent’s Name
BROOKLAND/CUA
MONROE STREET NE LAWRENCE ST
City / State / Zip Phone
KEARNY ST
8TH STREET NE
Address
WINTER / SPRING SEMESTER
EDGEWOOD ARTS CENTER
9TH STREET NE
Registration Form
EXCEL PILATES MENKITI GROUP LEE’S AUTO SERVICE BROOKLAND ARTSPACE LOFTS
Email DANCE PLACE
3225 8th St NE, Washington, DC 20017
KIDS ON THE MOVE CLASSES: Class 1
Sign up online at danceplace.org today!
Day / Time Class 2 Day / Time Class 3 Day / Time
KIDS ON THE MOVE: 1 CLASS PER SEMESTER
Total Kids On The Move Fees: $
2 CLASSES PER SEMESTER
Ask about NEW adult sampler during your kids’ class!
COYABA YOUTH ACADEMY CLASSES:
3 CLASSES PER SEMESTER
Jan 23-Feb 27 Tuesdays, 4:30-5:30pm
$340 / $306 Members
Ages 3 – 4
Ages 5 – 6
$580 / $522 Members
Ages 7 - 12
Teens
$810 / $729 Members
Total Coyaba Youth Academy Fees $
Join Today!
GRAND TOTAL: $
* Use the codes 2CLASSES and 3CLASSES to receive multi-class discount when registering online.
Payment Method: Cash
Check (payable to Dance Place)
Credit Card:
Visa
MC
AMEX
Number: Exp. Date
Sec. Code
Signature:
By signing this form, I agree that Dance Place and Coyaba Youth Academy may use photo / video of my child in class for marketing and fundraising efforts. It is my understanding that my signature releases Dance Place and Coyaba Youth Academy from any financial or legal responsibility for the use of media relations / promotional material(s).
Call 202.269.1600 or visit danceplace.org/donate
For more information on our youth classes please visit danceplace.org or call Brenna Dames, Education Associate, at 202.269.1600. Payment plans and needs-based scholarships are available. Mail or fax completed form to: Dance Place, Attn: Brenna Dames 3225 8th St NE, Washington, DC 20017 Phone: 202.269.1600 Fax: 202.249.7727 Email: brennad@danceplace.org
danceplacedc
@danceplace
danceplacedc 3225 8TH ST NE WASHINGTON, DC 20017 202.269.1600 DANCEPLACE.ORG METRO: BROOKLAND-CUA (RED LINE)
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