JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Dance Centre Kenya - Class Registration Form
Karen Hardy Studio January 2020
Please note that this form is suitable for continuing students only, kindly contact
hardy@dancecentre.co.ke
for new students. Thank You!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Surname
*
Your answer
Parent's/Guardian's First Name
*
Your answer
Parent's/Guardian's Surname
*
Your answer
Parent's Mobile Phone Number
*
Your answer
Monday Classes - Studio 1
Please tick the classes taken
Grade 2 Ballet; 4:15pm to 5:15pm - KES 11,000
Grade 3 Ballet; 5:15pm to 6:15pm - KES 11,000
Grade 4 Ballet: 6:15pm to 7:15pm - KES 11,000
Grade 5 Ballet; 7:15pm to 8:15pm - KES 11,000
Monday Classes - Studio 2
Please tick the classes taken
Bronze Tap; 4:15pm to 5:00pm - KES 10,000
Musical Theatre 10 years & up; 5.00pm to 6.00pm - KES 11,000
Musical Theatre 6 - 10 years; 6:15pm to 7:00pm - KES 10,000
Gold Tap; 7:00pm to 7:45pm - KES 10,000
Tuesday Classes - Studio 1
Please tick the classes taken
Pre-School Ballet; 3:45pm to 4:15pm - KES 9,000
Pre-Primary Ballet; 4:15pm to 5:00pm - KES 10,000
Primary Ballet; 5:00pm to 5:45pm - KES 10,000
Hip Hop 6 - 10 years; 5:45pm to 6:45pm - KES 11,000
Tuesday Classes - Studio 2
Please tick the classes taken
Gymnastics Level 1 Floor; 4:15pm to 5:00pm - KES 10,000
Gymnastics Level 2, 3, 4 Beam; 5:00pm to 5:45pm - KES 10,000
Wednesday Classes - Studio 1
Please tick the classes taken
Grade 3 Ballet; 4:15pm to 5:15pm - KES 11,000
Intermediate, Inter Found Open; 5:15pm to 6:45pm - KES 13,000
Advanced Found, I, II; 6:45pm to 8:15pm - KES 13,000
Wednesday Classes - Studio 2
Please tick the classes taken
Hip Hop 11 years & up; 4:15pm to 5:15pm - KES 11,000
Gold Contemporary; 5:15pm to 6:15pm - KES 11,000
Silver Contemporary; 6:45pm to 7:45pm - KES 11,000
Thursday Classes - Studio 1
Please tick the classes taken
Grade 5 Ballet; 4:15pm to 5:15pm - KES 11,000
Grade 1 Ballet; 5:15pm to 6:15pm - KES 11,000
Thursday Classes - Studio 2
Please tick the classes taken
Bronze Jazz; 4:30pm to 5:15pm - KES 10,000
Saturday Classes - Studio 1
Please tick the classes taken
Grade 4 Ballet; 9:00am to 10:00am - KES 11,000
Beginning Pointe; 10:00am to 10:45am - KES 10,000
Intermediate Foundation; 10:45am to 11:45am - KES 11,000
Intermediate Adv Pointe; 11:45am to 12:30pm - KES 10,000
Intermediate Pas de Deux; 12:30pm to 1:15pm - KES 10,000
Intermediate Ballet; 1:30pm to 2:45pm - KES 10,000
Advanced Foundation; 2:45pm to 4:00pm - KES 12,000
Advanced Pas de Deux; 4:00pm to 4:45pm - KES 10,000
Advanced 1; 4:45pm to 6:00pm - KES 12,000
Saturday Classes - Studio 2
Please tick the classes taken
Pre-School Ballet; 9:00am to 9:30am - KES 9,000
Pre-Primary Ballet; 9:30am to 10:15am - KES 10,000
Primary Ballet; 10:15am to 11:00am - KES 10,000
Grade 2 Ballet; 11:00am to 12:00pm - KES 11,000
Beginning Pas de Deux; 12:00pm to 12:45pm - KES 10,000
Grade 1 Ballet; 12:45pm to 1:45pm - KES 11,000
Gymnastics Level 1 & 2; 1:45pm to 2:30pm - KES 10,000
Gymnastics Level 3 & 4; 2:30pm to 3:30pm - KES 11,000
Hip Hop; 3:30pm to 4:30pm - KES 11,000
Mode of Payment
Choose
Mpesa
Bank Transfer
Cheque
Date of Payment
MM
/
DD
/
YYYY
Mpesa Confirmation No (if applicable)
Your answer
Cheque No (if applicable)
Your answer
Please Note
Cheques payable to: The Dance Centre Limited
Direct Transfer to Ac No. 00801048881210 I&M Bank Karen Sort Code: 570086
Mpesa: Pay Bill - Business No. 542647 Acc. No. STUDENT name
------------------------------------------------------------------------------------------------------------------------------------------
All payments must be made by the end of the first month of the term. Dance Center Kenya retains the right to exclude students for non-payment of fees.
It is MANDATORY for ballet students Grade 1 and up to take class twice a week
A penalty of 10% of the fees will be added to any fees paid after the half term break
Students will only be accepted into the next term if all payments arising from the previous term have been cleared in full
Fees capped at KES 60,000 per child per term
2nd child discount - 10%
3rd child discount - 20%
Paid fees are not refundable
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms