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What to Wear:

Creative movement/preballet and


tumbling: Pink leotard, pink footless tights,
pink ballet skirt and pink ballet shoes. Hair
must be secured in a bun or ponytail.
Boys—white T-shirt, black shorts, black
ballet shoes.
Our Mission is to bring honor, glory,
and praise to God through the art of Dance Ministries at First Baptist of Decatur
dance. Our goals are: ITEMS MAY BE PURCHASED AT LOCAL
• To engage students in active DANCE STORES (see below) OR AT Classes Start:
www.discountdance.com: September 4, 2008
learning, to assist them in
establishing a meaningful value Center Stage II :
Classes Conclude:
system, and to set high 3675 Satellite Blvd.
May 2009
expectations for each child. Suite 510
Duluth, GA
• To provide quality dance 770.814.9500
education in an environment that Footloose Dancewear, Inc.:
nurtures every child’s 2308 B Henry Clower, Blvd.
self-confidence, discipline, Snellville, GA
memory and grace. 770.972.6634
• To honor Jesus Christ in all our Shapes Dance & Aerobic Wear: The Shops
activities and build unity in the
of Dunwoody
5482 Chamblee Rd.
body of Christ.
Dunwoody, GA
770.396.1078
COSTUME FEES:
Costuming will be required for one or
more performances.
Dominique Fewell, Director
$25.00 deposit PER CLASS taken due in
678-908-0489
November.
Remainder due in January.
(will not exceed $50.00 PER CLASS)

*Possible Recital fee for tentative theatre


...a time to dance is offering a combined
preballet/creative movement and tumbling
class for boys and girls. This is a fun
introduction for little ones to the world of dance,
movement and tumbling while focusing on the
love of Christ. They will gain self-confidence, Registration Form
Participant Information
coordination, flexibility and grace while having
Class__________________________ Day_____________________ Time___________
fun through imagery and games. In addition,
Name_________________________________________ Age_____ DOB___/___/___
they will learn weekly Bible lessons, memorize
All classes begin with bible verse Bible verses and have meaningful prayer time. Address________________________________________________________________

City__________________________ State___________ Zip Code_________________


memorization, application to real life
Email____________________________________________________________________

issues, and prayer time. Guardian Information

Mother’s Name__________________________________________________________

Thursday 9:45-10:35 am: Father’s Name___________________________________________________________

Creative Movement/PreBallet Home_____________________________ Work________________________________

and Tumbling Cell (M)___________________________ Cell (F)______________________________

Ages 3– younger 4s Emergency Contact______________________________________________________


(3 as of Sept. 1) Relationship_________________________ Telephone__________________________

Class Limit—10: Medical Information

Thursday 10:45-11:35 p.m. Primary Care Physician_______________________ ph #_______________________

Creative Movement/PreBallet Address_________________________________________________________________

and Tumbling ——————————————————————


City__________________________ State___________ Zip Code__________________

Ages older 4s—5 Fees (see back for recital and costume fees):
Insurance Carrier_________________________________________________________

Class Limit—10 Registration: Policy Number____________________________________________________________

$15.00 per child Allergies_________________________________________________________________

$25.00 per family List all previous injuries, physical limitations, and current medications_________

(this is non-refundable) _________________________________________________________________________

Tuition: _________________________________________________________________________

$25.00 per month Authorization

(1st month due at time of registration) Notice of Termination: I understand that a written one (1)
month termination of participation notice be submitted to
*You may pay a one time TUITION fee for the the Director. I understand that in any activity the
potential exists for injury, minimal to catastrophic.
entire year for $215.00 plus the registration fee.
, it’s employees, agents,
All other discounts will apply to the one time
officer’s, and directors shall not be responsible for losses
fee. Please call Director for details. and damages associated in any activity, exhibition, or travel to or from any event in which the
named above is involved. Furthermore, I hereby release staff to render first aid in the event
Discounts: of any injury or illness, to seek medical assistance if deemed necessary and to transport to a
medical facility or to call an ambulance.
Sibling Discount: $7.50 PER CLASS
Two or more classes per student:
$5.00 PER MONTH Parental Signature ____________________________ Date________________

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