SCT Fall/Spring Dance Registration Form

Syracuse Children's Theatre
700 W. Manlius Street
East Syracuse, NY 13057
http://www.sctkids.com

Participant Information

First Name *

Last Name *

Age

Grade In Fall 2018 *

School Attending *

How did you hear about SCT? *

If chose "other" please explain.

FALL/SPRING PROGRAM - Please select Class(es) for which you are registering your child. All classes are held at Syracuse Children's Theatre. *

BALLET (Ages 5-7) - Mondays 5:30 - 6:45 p.m. - $375

CONTEMPORARY (Ages 8+) - Tuesdays 6:45 - 8:00 p.m. - $375

Beginner BROADWAY JAZZ - (Ages 8+) - Wednesdays - 5:30 - 6:45 p.m. - $375

Beginner BALLET (Ages 8+) - Wednesdays - 5:30 - 6:45 p.m. - $375

Advanced Beginner BROADWAY JAZZ - (Ages 8+) - Wednesdays - 6:45 - 8:00 p.m. - $375

Beginner & Intermediate HIP HOP (ages 8+) - Wednesdays - 6:45 - 8:00 p.m. - $375

Advanced Beginner BALLET (ages 8+) - Thursdays - 5:30 - 6:45 p.m.

Advanced Beginner JAZZ (ages 8+) - Thursdays - 6:45 - 8:00 p.m. - $375

Please choose 1 payment option and enter how many classes you are registering your students for. The other option you must put 0. Installment payments MUST be completed by November 10, 2018. *

	Pay in Full ($375 per class)
	3 Installments ($125 per installment per class) - September 10, October 10, November 10, 2018

Sibling discount (if applicable) - Please enter how many classes the sibling is registering for.

Sibling Discount ($15 per class)

Discounts: $25 off for each registration for 2nd dance class or more. $25 off if registered for "The Lion King, Jr." *May choose more than one discount if applicable *

No discounts

Second dance class registration

Third dance class registration

Fourth dance class registration

Fifth dance class registration

The Lion King, Jr. Registration Discount

Online Payment Fee: A $10.00 per registration payment fee is charged for all registrations paying via Paypal. There is no added fee if you choose to pay by check. If are submitting paperwork to be approved for a scholarship, click "Scholarship Pending" below and on then on the next page, click "Pay by Check." When you get to confirmation page, a message will pop up saying to disregard payment until you hear about scholarship. *

Paypal Electronic Payment Fee 10.00

Pay by Check

Scholarship Pending

Household / Adult Primary Contact

Relationship to Participants: *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Alternate Phone

Email Address *

In order to complete your registration, you must select the payment method on the next page. If you select Paypal, you will be redirected to Paypal to complete your payment. If you select Pay by Check, you will be directed where to mail in your payment. Registrations are not finalized until payment method selection on the next page is made. You will receive a printer friendly receipt once registration is finalized. **In addition to this form, please fill out a medical authorization form and email to Nikita@sctkids.com before the start of your session. Found on homepage of www.sctkids.com*