Student Registration Form New Student Registration FormAll new students are required to complete and submit this registration form. Each child will need to be registered separately. If attending more than four different classes, please select the Intermediate Pupil Programme which is charged at a flat rate of £220 per term. For four or less classes, the first two are charged at full price (prices quoted are based on a 12-week term), the third and fourth at £37.50 each per term.Please enable JavaScript in your browser to complete this form.Student Name *FirstLastStudent's Date of Birth *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeParent/Guardian Name *FirstLastRelationship to Student *SelectMotherFatherLegal GuardianParent/Guardian Contact Telephone Number *Parent/Guardian Contact Email *Registration confirmation will be sent to this email addressCLASSES First Class (full price for 12-week term)Pre-primary Ballet (2 1/2-4 yrs) - Saturday - £ 60.00Pre-primary Ballet (2 1/2-4 yrs) - Tuesday - £ 60.00Pre-primary Ballet & Tap - Tuesday - £ 72.00Primary Ballet (5 yrs +) - Saturday - £ 72.00Primary Ballet (5 yrs +) - Tuesday - £ 72.00Primary Ballet & Pre-Primary Tap - Tuesday - £ 84.00Grade 1 Ballet - Saturday - £ 72.00Grade 1 Ballet - Wednesday - £ 72.00Grade 2 Ballet - Saturday - £ 72.00Grade 2 Ballet - Wednesday - £ 72.00Grade 3 Ballet - Tuesday - £ 72.00Grade 4 Ballet - Wednesday - £ 72.00Grade 5 Ballet - Wednesday - £ 84.00Grade 6 Ballet & Pointe - Thursday - £ 84.00Grade 7 Ballet - Thursday - £ 84.00Intermediate Ballet - Thursday - £ 84.00Advanced Ballet - Wednesday - £ 72.00Junior Street Jazz (5yrs +) - Monday - £ 60.00Street Jazz (over 12s) - Monday - £ 72.00Senior and Commercial Jazz - Monday - £ 60.00Junior Jazz & Tap - Wednesday - £ 60.00Grade 3 Tap - Monday - £ 60.00Grade 4 Modern - Monday - £ 60.00Intermediate Modern - Monday - £ 60.00Jazz/Modern (8yrs +) - Tuesday - £ 60.00Jazz/Modern & Grade 2 Tap (8yrs+) - Tuesday - £ 72.00Musical Theatre (6yrs +) - Wednesday - £ 72.00Contemporary Dance (10yrs +) - Tuesday - £ 60.00AcroDance Level 1 (4-7 yrs) - Wednesday - £ 72.00AcroDance Level 1 (4-7 yrs) - Friday - £ 72.00AcroDance Level 2 - Thursday - £ 72.00AcroDance Level 2 - Friday - £ 72.00AcroDance Level 3 - Thursday - £ 72.00AcroDance Level 4 - Tuesday - £ 72.00NB: Select ballet disciplines first if attending more than one class. If selecting more than 4 classes please select the Intermediate Pupil Programme instead.Second ClassSecond Class (full price for 12-week term)Pre-primary Ballet (2 1/2-4 yrs) - Saturday - £ 60.00Pre-primary Ballet (2 1/2-4 yrs) - Tuesday - £ 60.00Pre-primary Ballet & Tap - Tuesday - £ 72.00Primary Ballet (5 yrs +) - Saturday - £ 72.00Primary Ballet (5 yrs +) - Tuesday - £ 72.00Primary Ballet & Pre-Primary Tap - Tuesday - £ 84.00Grade 1 Ballet - Saturday - £ 72.00Grade 1 Ballet - Wednesday - £ 72.00Grade 2 Ballet - Saturday - £ 72.00Grade 2 Ballet - Wednesday - £ 72.00Grade 3 Ballet - Tuesday - £ 72.00Grade 4 Ballet - Wednesday - £ 72.00Grade 5 Ballet - Wednesday - £ 84.00Grade 6 Ballet & Pointe - Thursday - £ 84.00Grade 7 Ballet - Thursday - £ 84.00Intermediate Ballet - Thursday - £ 84.00Advanced Ballet - Wednesday - £ 72.00Junior Street Jazz (5yrs +) - Monday - £ 60.00Street Jazz (over 12s) - Monday - £ 72.00Senior and Commercial Jazz - Monday - £ 60.00Junior Jazz & Tap - Wednesday - £ 60.00Grade 3 Tap - Monday - £ 60.00Grade 4 Modern - Monday - £ 60.00Intermediate Modern - Monday - £ 60.00Jazz/Modern (8yrs +) - Tuesday - £ 60.00Jazz/Modern & Grade 2 Tap (8yrs+) - Tuesday - £ 72.00Musical Theatre (6yrs +) - Wednesday - £ 72.00Contemporary Dance (10yrs +) - Tuesday - £ 60.00AcroDance Level 1 (4-7 yrs) - Wednesday - £ 72.00AcroDance Level 1 (4-7 yrs) - Friday - £ 72.00AcroDance Level 2 - Thursday - £ 72.00AcroDance Level 2 - Friday - £ 72.00AcroDance Level 3 - Thursday - £ 72.00AcroDance Level 4 - Friday - £ 72.00Third classThird Class (flat fee of £37.50 per term)Grade 3 Ballet - Tuesday - £ 37.50Grade 4 Ballet - Wednesday - £ 37.50Grade 5 Ballet - Wednesday - £ 37.50Grade 6 Ballet & Pointe - Thursday - £ 37.50Grade 7 Ballet - Thursday - £ 37.50Intermediate Ballet - Thursday - £ 37.50Advanced Ballet - Wednesday - £ 37.50Junior Street Jazz (5yrs +) - Monday - £ 37.50Street Jazz (over 12s) - Monday - £ 37.50Senior and Commercial Jazz - Monday - £ 37.50Junior Jazz & Tap - Wednesday - £ 37.50Grade 2 Tap (8 yrs +) - Tuesday - £ 37.50Grade 3 Tap - Monday - £ 37.50Jazz/Modern (8yrs +) - Tuesday - £ 37.50Jazz/Modern & Grade 2 Tap (8yrs +) - Tuesday - £ 37.50Grade 4 Modern - Monday - £ 37.50Intermediate Modern - Monday - £ 37.50Musical Theatre (6yrs +) - Wednesday - £ 37.50Contemporary Dance (10yrs +) - Tuesday - £ 37.50AcroDance Level 1 (4-7 yrs) - Wednesday - £ 37.50AcroDance Level 1 (4-7 yrs) - Friday - £ 37.50AcroDance Level 2 - Thursday - £ 37.50AcroDance Level 2 - Friday - £ 37.50AcroDance Level 3 - Thursday - £ 37.50AcroDance Level 4 - Tuesday - £ 37.50Fourth ClassFourth Class (flat fee of £37.50 per term)Grade 3 Ballet - Tuesday - £ 37.50Grade 4 Ballet - Wednesday - £ 37.50Grade 5 Ballet - Wednesday - £ 37.50Grade 6 Ballet & Pointe - Thursday - £ 37.50Grade 7 Ballet - Thursday - £ 37.50Intermediate Ballet - Thursday - £ 37.50Advanced Ballet - Wednesday - £ 37.50Junior Street Jazz (5yrs +) - Monday - £ 37.50Street Jazz (over 12s) - Monday - £ 37.50Senior and Commercial Jazz - Monday - £ 37.50Junior Jazz & Tap - Wednesday - £ 37.50Grade 2 Tap (8 yrs +) - Tuesday - £ 37.50Grade 3 Tap - Monday - £ 37.50Jazz/Modern (8yrs +) - Tuesday - £ 37.50Jazz/Modern & Grade 2 Tap (8yrs +) - Tuesday - £ 37.50Grade 4 Modern - Monday - £ 37.50Intermediate Modern - Monday - £ 37.50Musical Theatre (6yrs +) - Wednesday - £ 37.50Contemporary Dance (10yrs +) - Tuesday - £ 37.50AcroDance Level 1 (4-7 yrs) - Wednesday - £ 37.50AcroDance Level 1 (4-7 yrs) - Friday - £ 37.50AcroDance Level 2 - Thursday - £ 37.50AcroDance Level 2 - Friday - £ 37.50AcroDance Level 3 - Thursday - £ 37.50AcroDance Level 4 - Tuesday - £ 37.50Intermediate Pupil ProgrammeIntermediate Pupil Programme - £ 220.00This programme is for students who wish to attend multiple classes at a flat rate of £220 per termSelect the classes student will attend within the Intermediate Pupil ProgrammeGrade 2 Ballet - SaturdayGrade 2 Ballet - WednesdayGrade 3 Ballet - TuesdayGrade 4 Ballet - WednesdayGrade 5 Ballet - WednesdayGrade 6 Ballet & Pointe - ThursdayGrade 7 Ballet - ThursdayIntermediate Ballet - ThursdayAdvanced Ballet - WednesdayContemporary Dance (10yrs +) - TuesdayJunior Street Jazz (5yrs +) - MondayStreet Jazz (over 12s) - MondaySenior and Commercial Jazz - MondayJunior Jazz & Tap - WednesdayJazz/Modern (8yrs +) - TuesdayGrade 2 Tap (8yrs +) - TuesdayGrade 3 Tap - MondayGrade 4 Modern - MondayIntermediate Modern - MondayMusical Theatre (6yrs +) - WednesdayAcroDance Level 2 - ThursdayAcroDance Level 2 - FridayAcroDance Level 3 - ThursdayAcroDance Level 4 - TuesdayTotal Cost Per Term£ 0.00This is indicative only. Invoices are emailed prior to the start of each term with payment details. First and second classes are based on a 12-week term and will be adjusted pro rata if weeks in the term vary. For new students who register mid-term, the total cost will also be adjusted pro rata.Alternative Emergency Contact (Relative or Friend) *FirstLastAlternative Emergency Contact Telephone Number *Doctor's Name and Surgery Address *Doctor/Surgery Telephone Number *Allergies and Health ConditionsParental/Guardian Consent to Photography/Video *I agree that photographs/videos may be taken of my child during lessons, exams or performances for use by Katharine Mitchell School of DanceI DO NOT agree that photographs/videos may be taken of my child during lessons, exams or performances for use by Katharine Mitchell School of DanceBy consenting you will be agreeing that any photos or videos taken by Katharine Mitchell School of Dance may be used by the school for advertising and social media purposes.Submit