Registration Form Let's Dance with Ms. Deborah!
The Friends of Franklin Foundation is excited to bring Ms. Deborah Stern to Franklin Elementary for an after school program for students in Grades 3-5.  This class will be limited to 12 students and will take place in Classroom K-3, a very large and safe classroom space.  If you have any specific questions, please contact Franklin Elementary. 
Class is Tuesdays 2:15pm- 3:15pm on the following dates:
February 6, 13, 20, 27 March 5 and 12
**If anyone is registering after 7am Wed 2/7, fees are prorated to $135 for the remaining 5 classes.  The family will be paying the prorated amount of $67 for the child, and the Foundation will be paying the remainder of $68 (instructions in the last question).
Mailadresse *
Student Full Name *
Student Grade Level
Student Dance Experience
Parent Cell Number
 *
This program requires the parent or guardian to disclose to the instructor any concerns or accommodations regarding health or physical mobility.  If there are none, please type NONE. 
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** if anyone is registering after 7am Wed 2/7, fees are $135 for 5 classes.  The family will be paying the prorated amount of $67 for the child, and the Foundation will be paying the remainder of $68.   Please submit $67 by Monday Feb. 12th using Zelle to: dcoburnstern@gmail.com

This program requires a fee of $81 to cover the cost of the 6 dance classes.  The Friends of Franklin Foundation will be providing the remainder of the fees usually required (normal cost is $162 per child).  Parents are required to submit $81 directly to instructor one day PRIOR to the first day of class.  

When this is complete, type PAID in the box below. 
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