Liberty Heights Preschool Tuesdays & Wednesdays

12:00 pm August 25th & 26th

dance aTTIREChildren are encouraged to wear a T-shirt, non-restrictive pants/shorts or leggings. Please provide ballet shoes for your child (write their name inside all shoes). Boys do not need to purchase ballet shoes. Shoes can be purchased at locally at Walmart/Target or online at discountdance.com.

TUITION & POLICIESTuition for Session 1 is $90.00 and is due in advance. A $12.00 t-shirt charge will be added for the first session of enrollment only.Please make check payable to WEBBY Dance Company andwrite your child's name on the check. There is no credit for missedclasses. Please fill out the form below and mail it to us or registeronline at www.webbydanceco.com. When registering online, youwill have the convenience of making payments and managing yourown account. Classes will be held on Tuesdays andWednesdays from 12pm to 1pm. Students need to bring a non-messy/peanut free snack to eat and water only to each class. Session 1 classes are as follows:

WEBBY Dance Company * PO Box 711 * West Chester, OH 45071 * (513) 755-2480 * office@webbydanceco.com

OUR PROGRAMWEBBY Dance Company is now offering a fun and exciting combination Creative Movement/Tumbling classes for Boys & Girls, weekly at your child’s school. Classes are held on site, where your child will remain under the direction of the school while receiving instruction from WEBBY Dance Company. Children will benefit by building their memory, concentration, coordination, creativity and self-confidence, all in a positive atmosphere. Sign up now!!

OUR CLASSES Classes begin with stretching and warm-up exercises. Children are then taught creative movement and dance techniques across the floor. Children dance to their favorite songs while using fun props (ie…maracas, tambourines, pom-poms, leis, etc.). With over 400 dances in our curriculum, students are regularly introduced to new and exciting routines.

OUR STAFF WEBBY Dance Company® instructors are energetic, positive and fun. Our carefully selected staff has extensive dance training and experience working with children. We have an on-going training program that ensures top-quality dance education for your child.

Like Us on Facebook:WEBBY Dance Company - Cincinnati REGISTER ONLINE AT

WWW.WEBBYDANCECO.COM!!!

ENROLLMENT FORM: Liberty Heights Preschool Circle Day: Tuesday or Wednesday

DOB:LAST FIRST

LASTSTUDENT: BOY or GIRL

ZIP:

HOME PHONE:

CITY:

T-SHIRT SIZE (circle one): X-Small (2-4) Small (6-8) Medium (8-10) CHARGE IT! If paying by Visa, Mastercard or Discover please fill out the following:

BILLING ZIPCODE

EXPIRATION :CARD NUMBER / CVC CODE: AMOUNT: $ SIGN ME UP FOR AUTOMATIC PAYMENTS. Please charge my card at the beginning of each session. Payment will be processed the week before classes begin.

NO, DO NOT SIGN ME UP FOR AUTOMATIC PAYMENTS. I will make payments at the beginning of each session. Your child is still enrolled until we are notified. LIABILITY RELEASE: Your child will remain under the care, direction, and supervision of the school while receiving instruction from WEBBY Dance Company®. I hereby release and discharge WEBBY Dance Company® and its members from all actions, claims, or demands, I, my heirs, distributees, guardians, legal representatives, or assigns now have or may have in the future for injury or damage resulting from my child’s participation in this activity. PHOTO RELEASE: I grant permission for my child to be photographed and to appear in any components of media communication. I understand that the photographs may be used as promotional materials for WEBBY Dance Company.

DATE

FIRST

NAME ON CARD

WORK PHONE:

SIGNATURE OF PARENT/GUARDIAN

SCHOOL:

STUDENT NAME:

PARENT NAME:

HOME ADDRESS:

CELL PHONE:

EMAIL ADDRESS (required):

START DATE:

Liberty Heights Preschool: Session 1 - Tuesdays & Wednesdays from 12:00 pm to 1:00 pm Ages 3 and Up

Tuesdays:August 25thSeptember 1st, 15th, 22nd & 29th October 6th, 13th & 20th

Wednesdays: August 26th

September 2nd, 16th, 23rd & 30th October 7th, 14th & 21st

*No Class 9/8 *No Class 9/9

You child will automatically be enrolled in each additional session ofWEBBY Dance unless our office is notified.

WEBBY Dance Company®Liberty Heights Preschool - Student Information Sheet

PLEASE NOTE: THIS FORM MUST BE MAILED OR EMAILED TO US EVEN IF YOU SIGN YOUR CHILD UP ONLINE.

EMAIL: office@webbydanceco.com

MAILING ADDRESS: WEBBY Dance Company P.O. Box 711 West Chester, OH 45071

Student Name: _______________________________________________

LHPreschool Class Child is Enrolled In (Circle One):

2A 2B 2C 2D 3A 3B 3C 3D 3E 3F 3G 3H

4A 4B 4C 4D 4E 4F 4G 4H 5A 5B 5C

Please list all people who are allowed to pick your child up from preschool on a day he/she has WEBBY Dance class:

Mom: _________________________________________ Phone Number: ____________________________

Dad: _________________________________________ Phone Number: ____________________________

Other: _________________________________________ Phone Number: ____________________________

Other: _________________________________________ Phone Number: ____________________________

If someone other than those listed above are going to pick up your child from preschool on a day he/she has WEBBY Dance, please contact WEBBY Dance Company directly to add that person.

List anyone who is NOT allowed to pick up your child: _______________________________________________________

Please list any allergies your child has: ___________________________________________________________________

Emergency Medication(s) To Be Kept at Preschool: _______________________________________________________ (Please note: If you child requires emergency medication to be kept at preschool, an ADDITIONAL set of medications must be provided for WEBBY Dance Company).