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RETURN THIS PAGE TO THE STUDIO WITH PAYMENT BY MARCH 1ST
(GROUP RENTAL IS 25 PER COSTUME - PLEASE, DO NOT ADD SOLO RENTALS AT THIS TIME!)

_________________________________________________has my permission to 
participate in the 2012 recital in the following dances:

Ballet (and Pre Ballet)_______________   Jazz (and Pre Jazz)________________

Tap________________   Acrobatics________________  Tumbling_____________

Pointe (Pre Pointe)_________________                 Modern__________________

Little Stars/Star Company_________________

EXTRA CLASS_________________                  EXTRA CLASS_________________

SOLO (If Selected)_________________
This space must be marked if you are planning to audition for a Solo April 9th.

FEES:

Costume Total (minus solo):_________________         1/2:_________________

                                   Recital Fee:                                          +$25.00

                                                     Amount enclosed:_________________

                                                           Amount Due May 1st: _________________

 

                                                              __________________________________
                                                           (Parents Signature)              Thank You!

 

 

37747 Meridian Avenue - Dade City Florida - (352) 567-5919
Please call or email
blackwoodstudios @ gmail.com for more information.

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