Broadway Bound Dance Center
2010/2011 Registration Form
 
Mail to: Broadway Bound Dance Center, 17 Willow Street, Natick, MA 01760
Student's Name:
DOB:                                                                                   Age:                                                                 Grade:
Address:
City:                                                                                    State:                                                                 Zip:
Parent #1:                                                                         Phone (H):                                                       (C):
Parent #2:                                                                         Phone (H):                                                       (C):
Family Email:                                                                   Student Email:
Emergency Contact:                                                       Relation:
Emergency Phone Number:                                                             Medical Information:
 

 

PAYMENT PER SEMESTER: Fall Semester 9/7/09 to 1/8/11 & Spring Semester 1/10/11 to 6/10/11
(Automatic enrollment for Spring)
Recreational - Pricing
Team - Pricing
Core – Pricing
(White classes and **Team classes if approved)
(Team Classes & White Classes)
(All Core, Team & White Classes)
One Class - $285 per semester
Team (4 hrs) - $750 per semester
Core (6 hrs) - $1100 per semester
Two Classes - $510 per semester
Team (5 hrs) - $925 per semester
Core (7 hrs) - $1275 per semester
Three Classes - $700 per semester
Pointe (1.5 hrs) - $260
Core (8 hrs) - $1425 per semester
*Wait list for team classes until July 21st
* Additional classes $175 per class
*Additional classes $175 per class

 
Please Fill out Class Name, Day/Time & Total Cost below:
 
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
Class: _______________________________________    Day/Time: ________________________________________
 
Total Semester Cost:  _________________
** Payment in full due with registration form – Checks payable to BBDC **
Email us at support@bbdcnatick.com with questions
_______________________________________________________________________________________________
I, the undersigned Parent or Guardian of the above student, release BROADWAY BOUND DANCE CENTER, including instructors and assistants, from any and all injuries which may occur from training, practicing, performing and/or during any event or activity. I also agree that I am responsible for the health and accident insurance and any medical costs for the above student incurred due to injury including, but not limited to, emergency medical transportation and treatment if the need arises. I understand that BBDC has a NO REFUND policy. If a student drops, the account will be credited the remaining balance and will be saved for up to one year. I also give my permission for the public display of any studio pictures that my child may be in.
Print Name: ______________________________ Signature: __________________________________ Date: ________________

Broadway Bound Dance Center ~ 17 Willow St. Natick MA 01760 (508)315-3775