Recreational Dance 2024-2025!

Dancer's Name *

First Name

Last Name

Dancer's Birthday *

MM

DD

YYYY

Dancer’s Home/Primary Phone *

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Dancer's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Parent or Guardian 1 *

(May be Mother, Father, Guardian, etc.)

First Name

Last Name

Primary Parent or Guardian 1’s Cell *

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Primary Parent or Guardian 2 *

(May be Mother, Father, Guardian, etc.)

First Name

Last Name

Primary Parent or Guardian 2’s Cell *

If none, please fill out by typing x's to replace numbers

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Alternate Person to Notify in Case of Emergency *

First Name

Last Name

Alternate Person to Notify in Case of Emergency Cell *

(###)

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In Case of Emergeny *

In an emergency can Pinnell Dance Centre take student to the nearest hospital, doctor or dentist?

YES

NO

Class Registration:

Please select classes based on your dancer's age and ability. If you need help selecting the perfect class for your dancer, we are here to help! Please call us at (614) 476-4140 or contact us at the contact page.

Pre-Combo - (Age 2 as of 9/1/24) - 30 Minute Class - Adult participation require - 1 adult per child, no siblings – Saturday - 9:45 AM - Ms. Katelyn (30 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet – Monday - 4:45 PM - Ms. Taya (45 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet – Monday - 6:00 PM - Ms. Taya (45 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet – Tuesday - 5:30 PM - Ms. Amanda (45 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet – Wednesday - 4:15 PM - Ms. Jeanel (45 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet – Wednesday - 5:45 PM - Ms. Jeanel (45 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet – Thursday - 5:00 PM - Ms. Amanda (45 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet – Thursday - 6:30 PM - Ms. Kirsten (45 mins)

Combo 1 (3 to 4 yr olds) - 45 Minute Classes - Tap, Ballet –Saturday 10:15 AM - Ms. Katelyn (45 mins)

Combo 2 (4 to 5 yr olds) - 45 Minute Classes - Tap, Ballet – Monday - 6:45 PM - Ms. Taya (45 mins)

Combo 2 (4 to 5 yr olds) - 45 Minute Classes - Tap, Ballet – Tuesday - 6:00 PM - Ms. Jeanel (45 mins)

Combo 2 (4 to 5 yr olds) - 45 Minute Classes - Tap, Ballet – Tuesday 6:45 PM - Ms. Jeanel (45 mins)

Combo 2 (4 to 5 yr olds) - 45 Minute Classes - Tap, Ballet - Wednesday - 4:15 PM - Ms. Rayne (45 mins)

Combo 2 (4 to 5 yr olds) - 45 Minute Classes - Tap, Ballet - Thursday - 4:15 PM - Ms. Rayne (45 mins)

Combo 2 (4 to 5 yr olds) - 45 Minute Classes - Tap, Ballet - Thursday - 6:15 PM - Ms. Amanda (45 mins)

Combo 2 (4 to 5 yr olds) - 45 Minute Classes - Tap, Ballet - Saturday - 11:00 AM - Ms. Katelyn (45 mins)

Combo 3 (5 yr olds) - 60 Minute Classes - Tap, Ballet, Jazz – Tuesday - 4:15 PM - Ms. Jeanel (60 mins)

Combo 3 (5 yr olds) - 60 Minute Classes - Tap, Ballet, Jazz – Tuesday - 6:45 PM - Ms. Amanda (60 mins)

Combo 3 (5 yr olds) - 60 Minute Classes - Tap, Ballet, Jazz – Wednesday - 6:30 PM - Ms. Jeanel (60 mins)

Combo 3 (5 yr olds) - 60 Minute Classes - Tap, Ballet, Jazz – Thursday - 5:00 PM - Ms. Kirsten (60 mins)

Combo 3 (5 yr olds) - 60 Minute Classes - Tap, Ballet, Jazz – Saturday - 11:45 AM - Ms. Katelyn (60 mins)

Babes Tech (5 to 7 yr olds) – Saturday - 10:00 AM – Babes Tech - Ms. Jeanel and Ms. Caitlin (45 mins)

Level 1 (5 to 8 yr olds) – Monday - 4:15 PM - Beg Jazz - Ms. Taya (30 mins)

Level 1 (5 to 8 yr olds) – Monday - 4:45 PM - Beg Ballet 1 - Ms. Josie (45 mins)

Level 1 (5 to 8 yr olds) – Monday - 6:30 PM - Beg Hip Hop - Ms. Josie (30 mins)

Level 1 (5 to 8 yr olds) – Tuesday - 5:15 PM - Ballet 1 - Ms. Jeanel (45 mins)

Level 1 (5 to 8 yr olds) – Tuesday - 5:45 PM - Beg Tap - Ms. Caitlin (30 mins)

Level 1 (5 to 8 yr olds) – Tuesday - 6:15 PM - Beg Jazz - Ms. Caitlin (30 mins)

Level 1 (5 to 8 yr olds) – Wednesday - 5:00 PM - Beg Hip Hop - Ms. Josie (30 mins)

Level 1 (5 to 8 yr olds) – Wednesday - 5:30 PM - Beg Jazz - Ms. Ashley (30 mins)

Level 1 (5 to 8 yr olds) – Wednesday - 6:45 PM - Ballet 1 - Ms. Josie (45 mins)

Level 1 (5 to 8 yr olds) – Wednesday -7:30 PM - Beg Lyrical - Ms. Andrea (30 mins)

Level 1 (5 to 8 yr olds) – Thursday - 4:00 PM - Beg Tap 1/2 - Ms. Taya (30 mins)

Level 1 (5 to 8 yr olds) – Thursday - 4:30 PM - Beg Jazz - Ms. Taya (30 mins)

Level 1 (5 to 8 yr olds) – Thursday - 5:15 PM - Ballet 1 - Ms. Katie (45 mins)

Level 1 (5 to 8 yr olds) – Thursday - 6:00 PM - Beg Lyrical - Ms. Katie (30 mins)

Level 1 (5 to 8 yr olds) – Thursday - 7:15 PM -Musical Theatre - Ms. Kirsten (30 mins)

Level 1 (5 to 8 yr olds) – Saturday - 9:15 AM - Jazz 1/2 - Ms. Alexis (30 mins)

Level 1 (5 to 8 yr olds) – Saturday - 9:45 AM – Tap 1/2 - Ms. Alexis (30 mins)

Level 1 (5 to 8 yr olds) – Saturday - 10:15 AM - Lyrical 1/2 - Ms. Alexis (30 mins)

Level 1 (5 to 8 yr olds) – Saturday - 10:45 AM - Ballet 1 - Ms. Caitlin (45 mins)

Level 2 (7 to 9 yr olds) – Monday - 5:30 PM - Musical Theatre 2/3 - Ms. Taya (30 mins)

Level 2 (7 to 9 yr olds) – Monday - 6:30 PM - Lyrical 2/3 - Ms. Abby (45 mins)

Level 2 (7 to 9 yr olds) – Monday - 7:15 PM - Ballet 2/3 - Ms. Abby (45 mins)

Level 2 (7 to 9 yr olds) – Tuesday - 5:15 PM - Lyrical 2 - Ms. Onjelee (30 mins)

Level 2 (7 to 9 yr olds) – Tuesday - 7:30 PM - Ballet 2 - Ms. Jeanel (45 mins)

Level 2 (7 to 9 yr olds) –Wednesday - 5:30 PM - Jazz 2 - Ms. Josie (30 mins)

Level 2 (7 to 9 yr olds) –Wednesday - 7:00 PM - Lyrical 2 - Ms. Andrea (30 mins)

Level 2 (7 to 9 yr olds) –Thursday - 4:00 PM - Tap 1/2 - Ms. Taya (30 mins)

Level 2 (7 to 9 yr olds) –Thursday - 4:15 PM - Ballet 2/3 - Ms. Kirsten (45 mins)

Level 2 (7 to 9 yr olds) –Thursday - 5:00 PM - Jazz 2/3 - Ms. Taya (30 mins)

Level 2 (7 to 9 yr olds) –Thursday - 5:30 PM - Tap 2/3 - Ms. Taya (30 mins)

Level 2 (7 to 9 yr olds) –Thursday - 6:00 PM - Hip Hop 2/3 - Ms. Kirsten (30 mins)

Level 2 (7 to 9 yr olds) –Saturday - 9:15 AM - Jazz 1/2 - Ms. Alexis (30 mins)

Level 2 (7 to 9 yr olds) –Saturday - 9:45 AM - Tap 1/2 - Ms. Alexis (30 mins)

Level 2 (7 to 9 yr olds) –Saturday - 10:15 AM - Lyrical 1/2 - Ms. Alexis (30 mins)

Level 3 (9 to 11 yr olds) – Monday - 5:00 PM - Ballet 3 - Ms. Onjelee (60 mins)

Level 3 (9 to 11 yr olds) – Monday - 5:30 PM - Musical Theatre 2/3 - Ms. Taya (30 mins)

Level 3 (9 to 11 yr olds) – Monday - 6:30 PM - Lyrical 2/3 - Ms. Abby (45 mins)

Level 3 (9 to 11 yr olds) – Monday - 7:15 PM - Ballet 2/3 - Ms. Abby (45 mins)

Level 3 (9 to 11 yr olds) – Thursday - 4:15 PM - Ballet 2/3 - Ms. Kristen (45 mins)

Level 3 (9 to 11 yr olds) – Thursday - 5:00 PM - Jazz 2/3 - Ms. Taya (30 mins)

Level 3 (9 to 11 yr olds) – Thursday -5:30 PM - Tap 2/3 - Ms. Taya (30 mins)

Level 3 (9 to 11 yr olds) – Thursday - 6:00 PM - Hip Hop 2/3 - Ms. Kirsten (30 mins)

Pre-Teen (10 to 13 yr olds) – Tuesday - 6:00 PM – Pre-Teen Ballet – Ms. Abby (45 mins)

Pre-Teen (10 to 13 yr olds) – Tuesday - 6:45 PM – Pre-Teen Lyrical – Ms. Abby (45 mins)

Pre-Teen (10 to 13 yr olds) – Wednesday - 7:30 PM - Pre-Teen Hip Hop - Ms. Josie (30 mins)

Pre-Teen (10 to 13 yr olds) – Thursday - 6:00 PM - Pre-Teen Tap - Ms. Taya (30 mins)

Pre-Teen (10 to 13 yr olds) – Thursday - 6:30 PM - Pre-Teen Jazz - Ms. Taya (45 mins)

Pre-Teen (10 to 13 yr olds) – Thursday - 7:00 PM - Pre-Teen Hip Hop - Ms. Rayne (30 mins)

Pre-Teen (10 to 13 yr olds) – Thursday - 7:15 PM - Pre-Teen Musical Theatre - Ms. Taya (30 mins)

Teen (Ages 13 and up) – Monday - 7:00 PM - Teen Hip Hop - Ms. Josie (30 mins)

Teen (Ages 13 and up) – Monday - 7:30 PM – Teen Tap – Ms. Taya (30 mins)

Teen (Ages 13 and up) – Monday - 8:00 PM – Teen Jazz – Ms. Taya (60 mins)

Teen (Ages 13 and up) – Tuesday - 6:45 PM - Teen Ballet - Ms. Caitlin (45 mins)

Teen (Ages 13 and up) – Tuesday - 7:30 PM - Teen Lyrical - Ms. Caitlin (45 mins)

Pointe - Must be evaluated by instructor for readiness and safety – Thursday - 6:30 PM - Beg - Ms. Emily (60 mins)

Pointe - Must be evaluated by instructor for readiness and safety – Saturday - 11:45 AM - Int/Adv - Ms. Emily (45 mins)

Adult – Thursday - 7:45 PM - Adult Tap - Ms. Taya (30 mins)

Adult – Thursday - 8:15 PM - Adult Jazz - Ms. Taya (60 mins)

Medical Liability: *

Due to the physical nature of the dance business, I do realize an injury could occur during dance class. I do assume medical responsibility for myself or my child.

I have read the above and agree.

Class Makeups: *

If you need to miss a class, you can attend a comparable leveled class to make up for your absence. Refunds or credits cannot be given in the case of an absence.

I have read the above and agree.

Class Withdrawal: *

Class Withdrawal: We ask for those dancers wishing to withdraw from a class to let the studio know at least one month in advance so we may fill it with a dancer on the waiting list. Failure to withdrawal in a timely fashion will result in a charge of one month’s tuition.

I have read the above and agree.

Registration Fee: *

There will be a $40 non-refundable registration fee for the 2024-2025 Season.

I have read the above and agree.

Tuition/Late Fees: *

Tuition payments are to be made by the 1st of each month. Any payments not received by the 7th of each month will incur a $5.00 per class late charge.

I have read the above and agree.

Social Media/Video/Photography Release: *

I acknowledge and consent to allow Pinnell Dance Centre to use photos/video of my child in publications (such as flyers/post cards), on our studio website and social media pages.

I have read the above and agree.

Digital Signature *

First Name

Last Name