Kitty Lee Dance Online Registration

Please submit a separate registration form for each student. Upon submission of your online registration for September through June classes, please forward the registration fee of $20.00 to:

Kitty Lee Dance Studio
16880 Parker Plaza
Omaha, Nebraska
(402) 493-6525

Registration is not complete until the appropriate fees are received.

Registration Form

Contact Information

Subject

Contact Name (required)

Your Email (required)

Street Address:

City:

State:

Zip:

Preferred Phone Number:
Cell Phone NumberHome Phone NumberWork Phone Number

Cell Phone Number:

Home Phone Number:

Work Phone Number:

Student Information

Student First Name:

Student Last Name:

Student Date of Birth (YYYY-MM-DD format (e.g. 2013-04-08)

Select Classes and Programs of Interest:

Basic Combination Class (tap,ballet and acrobats)Basic Ballet Technique OnlyJazz (must also enrolled in basic combo or ballet technique class)PointeAcrobatsKitty Lee Dance Team (audition required and must be enrolled in combo class to participate - Summer Team Classes are also held at an additional feeFuture Stars Ages 5-8Hip Hop ages 7 & upTot Hop ages 5-7Tinker Tots ages 18 mos-3yrLyrical / ModernLeaps & TurnsAdult Classes BalletAdult Classes Jazz/Tap

Select the Option That Applies for This Student:

One Class (one class per week) $50.00/monthEach Additional Family Member $40.00/monthFirst Two Additional Classes $30.00/monthEvery Additional Class Beyond That $25.00/monthDance Team Fee $50.00/month (audition may be required)

Summer Camps 2017:

Hip Hop Dance Party (June 26-30) $110.00Kitty Lee Dance Camp (July 24-28) $165.00Trolls Dance Camp (June 12-16) $110.00Moana Dance Camp (July 10-14) $110.00Beauty & the Beast Camp (July 17-21) $110.00

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