Student Registration Form Student Registration - Autumn Term 2021Please complete and submit to register your child for all relevant dance classes. Each child will need to be registered separately.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 - Autumn Term 2021First Class (Full Price)Pre-primary Ballet - Saturday - £ 54.00Pre-primary Ballet - Tuesday - £ 54.00Pre-primary Ballet & Tap - Tuesday - £ 66.00Primary Ballet - Saturday - £ 66.00Primary Ballet - Tuesday - £ 66.00Primary Ballet & Pre-Primary Tap - Tuesday - £ 78.00Grade 1 Ballet - Saturday - £ 66.00Grade 1 Ballet - Wednesday - £ 66.00Grade 2 Ballet - Saturday - £ 66.00Grade 2 Ballet - Wednesday - £ 66.00Grade 3 Ballet - £ 66.00Grade 4 Ballet - £ 66.00Grade 5 Ballet - £ 78.00Grade 6 Ballet & Pointe - £ 78.00Grade 7 Ballet - £ 78.00Grade 8 Ballet/Intermediate Ballet - £ 78.00Advanced Ballet - £ 78.00Junior Street Jazz (6yrs +) - £ 54.00Street Jazz (over 12s) - £ 66.00Senior Jazz - £ 54.00Junior Jazz & Tap - £ 54.00Grade 2 Tap - £ 54.00Grade 3 & 4 Tap - £ 54.00Grade 3 Modern - £ 54.00Intermediate Modern - £ 54.00Jazz/Modern (8yrs +) - £ 54.00Commercial Jazz - £ 66.00Musical Theatre (6yrs +) - £ 66.00Contemporary Dance (10yrs +) - £ 78.00NB: If registering for several classes, please select ballet disciplines first (another selection box will appear after each class is chosen up to a maximum of 4)Second ClassSecond Class (Full Price)Grade 2 Ballet - Saturday - £ 66.00Grade 2 Ballet - Wednesday - £ 66.00Grade 3 Ballet - £ 66.00Grade 4 Ballet - £ 66.00Grade 5 Ballet - £ 78.00Grade 6 Ballet & Pointe - £ 78.00Grade 7 Ballet - £ 78.00Grade 8 Ballet/Intermediate Ballet - £ 78.00Advanced Ballet - £ 78.00Junior Street Jazz (6yrs +) - £ 54.00Street Jazz (over 12s) - £ 66.00Senior Jazz - £ 54.00Junior Jazz & Tap - £ 54.00Grade 2 Tap - £ 54.00Grade 3 & 4 Tap - £ 54.00Grade 3 Modern - £ 54.00Intermediate Modern - £ 54.00Jazz/Modern (8yrs +) - £ 54.00Commercial Jazz - £ 66.00Musical Theatre (6yrs +) - £ 66.00Contemporary Dance (10yrs +) - £ 78.00Third classThird Class (flat fee of £34)Grade 3 Ballet - £ 34.00Grade 4 Ballet - £ 34.00Grade 5 Ballet - £ 34.00Grade 6 Ballet & Pointe - £ 34.00Grade 7 Ballet - £ 34.00Grade 8 Ballet/Intermediate Ballet - £ 34.00Advanced Ballet - £ 34.00Junior Street Jazz (6yrs +) - £ 34.00Street Jazz (over 12s) - £ 34.00Senior Jazz - £ 34.00Junior Jazz & Tap - £ 34.00Grade 2 Tap - £ 34.00Grade 3 & 4 Tap - £ 34.00Grade 3 Modern - £ 34.00Intermediate Modern - £ 34.00Jazz/Modern (8yrs +) - £ 34.00Commercial Jazz - £ 34.00Musical Theatre (6yrs +) - £ 34.00Contemporary Dance (10yrs +) - £ 34.00Fourth ClassFourth Class (flat fee of £34)Grade 4 Ballet - £ 34.00Grade 5 Ballet - £ 34.00Grade 6 Ballet & Pointe - £ 34.00Grade 7 Ballet - £ 34.00Grade 8 Ballet/Intermediate Ballet - £ 34.00Advanced Ballet - £ 34.00Junior Street Jazz (6yrs +) - £ 34.00Street Jazz (over 12s) - £ 34.00Senior Jazz - £ 34.00Junior Jazz & Tap - £ 34.00Grade 2 Tap - £ 34.00Grade 3 & 4 Tap - £ 34.00Grade 3 Modern - £ 34.00Intermediate Modern - £ 34.00Jazz/Modern (8yrs +) - £ 34.00Commercial Jazz - £ 34.00Musical Theatre (6yrs +) - £ 34.00Contemporary Dance (10yrs +) - £ 34.00Intermediate Pupil Programme Intermediate Pupil Programme - £ 210.00For students attending multiple classesSelect the classes student will attend within the Intermediate Pupil ProgrammeGrade 2 Ballet - Saturday*Grade 2 Ballet - Wednesday*Grade 3 BalletGrade 4 BalletGrade 5 BalletGrade 6 Ballet & PointeGrade 7 BalletGrade 8 Ballet/Advanced BalletIntermediate BalletContemporary DanceJunior Street Jazz (6yrs +)Street Jazz (over 12s)Senior JazzJunior Jazz & TapJazz/Modern (8yrs +)Grade 3 ModernIntermediate ModernGrade 2 TapGrade 3 & 4 TapCommercial JazzMusical TheatreAdult Ballet (18+)* Select EITHER Saturday OR Wednesday class if choosing Grade 2 BalletTotal Cost for Autumn Term 2021£ 0.00You will receive an invoice for this amount via email with payment details in due courseAlternative Emergency Contact (Relative or Friend) *FirstLastAlternative Emergency Contact Telephone Number *Doctor's Name and Surgery Address *Doctor/Surgery Telephone Number *Parental/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
