ICONIC SUMMER of DANCE                  
Dates: Monday July 1st -Tuesday  August 20th 2024
Session 1 - July 1,2,8,9,15,16
Session 2 - August 5,6,12,13,19,20
The studio will be closed July 29 & 30 as our Company dancers are performing in Disneyland & Universal Studios Hollywood.
Address: City Dance Theatre 3540 Brooks Ave NE, Salem, OR, 97301
***MAILING ADDRESS FOR PAYMENTS: PO BOX 21839, Keizer, OR 97307***
Contact us at 503 391 4952 or cdtfaculty@comcast.net
Sign in to Google to save your progress. Learn more
Email *
Dancers Name *
Age and school grade just completed. *
Parent name  *
Parent Phone # *
PLEASE CHECK WHICH SUMMER CLASS PACKAGE YOU ARE REGISTERING FOR *
Required
DANCE & PLAY PIZAZZ!  $45.00 each ages 4-8 Each DANCE & PLAY PIZAZZ is 9:30am - 11:30am Registration is not complete until payment has been received. **Please mail to PO Box 21839 Keizer OR 97307 or drop at the studio Monday - Thursday 4 -8 PM** Make check payable to City Dance Theatre *
Required
INTENSIVE WEEK - $300.00 July 22 - July 26   9am - 3PM each day.Intermediate and Advanced levels only- 50% payment due with registration to hold place. Balance due July 1st .**Please mail to PO Box 21839 Keizer OR 97307 or drop at the studio Monday - Thursday 4 -8 PM** Make payable to City Dance Theatre *
Required
Intensive week dancers will receive a t shirt.Please  let us know what size your dancer would like.Available in Adult & Youth sizes.
1 WEEK UNLIMITED CLASS PASS $150.00 *
Required
À LA CARTE CLASSES  $25.00 60 mins class. *
Required
I understand that I will receive a bill via the email provided for Classes/Intensive/Dance & Play Pizazz selected. If payments are not received by due date we can not guarantee a place in Class/Intensive/Dance & Play Pizazz
**Please mail payments to PO Box 21839 Keizer OR 97307 or drop at the studio Monday - Thursday 4 -8 PM** Please make checks payable to CITY DANCE THEATRE
 *
Required
Emergency Contact Name  & Telephone # *
I CERTIFY THAT MY CHILD IS IN PROPER PHYSICAL CONDITION TO TAKE PART IN DANCE CLASS. I REALIZE THAT THERE ARE CERTAIN RISKS POSSIBLE IN THE ART OF DANCE. I AGREE TO ASSUME THE RISK OF ALL INJURIES OR DAMAGE THAT MAY ARISE FROM MY CHILD’S PARTICIPATION IN CLASSES AT CITY DANCE THEATRE INC. IN CONSIDERATION OF THE ABOVE I HEREBY RELEASE AND HOLD HARMLESS CITY DANCE THEATRE INC. IT’S TEACHERS AND DIRECTOR FROM AND AGAINST ANY LIABILITY OR CLAIM FOR ANY LOSS OF PROPERTY, INJURY, MISADVENTURE, HARM, COST OR DAMAGE SUSTAINED AS A RESULT OF MY CHILD’S PARTICIPATION IN CLASSES AT CITY DANCE THEATRE INC. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms