SUMMER DANCE 2024! PINNELL DANCE CENTRE284 Agler RoadGahanna, OH 43230(614) 476-4140 Office hours:Monday-Thursday 4:00-9:00 pmSaturday 9:30 am-12:30 pm Register below for Summer Dance 2024! Please reach out to us with questions. We’re excited to help! CONTACT US HERE! Register Here for Summer Dance 2024! SUMMER CAMPS!Join Us for Summer Camps Today! Frozen Dance CampJune 4th – June 6th10:00 AM – 12:00 PM3-5 Year Olds$100 Taylor Swift Dance CampJune 4th – June 6th10:00 AM – 12:00 PM6-9 Year Olds$100 Princess Dance CampJuly 16th – July 18th 10:00 AM – 12:00 PM3-5 Year Olds$100 Barbie Dance CampJuly 16th – July 18th 10:00 AM – 12:00 PM6-9 Year Olds$100 SUMMER DANCE!Join Us for Summer Dance Classes Today! Payments made by June 30, 202430 minute class …… $8045 minute class …… $86*$5 late fee per class after June 30, 2024Classes subject to change. Class Registration Dancer's Name * First Name Last Name Dancer's Age (As of 6/26/24) * Dancer's Birthday * MM DD YYYY Dancer's Email (Dancer’s Email may be Primary Parent’s/Guardian’s Email) * Dancer’s Home/Primary Phone * (###) ### #### Dancer's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Parent or Guardian 1 * (May be Mother, Father, Guardian, etc.) First Name Last Name Primary Parent or Guardian 1’s Cell * (###) ### #### Primary Parent or Guardian 2 * (May be Mother, Father, Guardian, etc.) First Name Last Name Primary Parent or Guardian 2’s Cell * If none, please fill out by typing x's to replace numbers (###) ### #### Alternate Person to Notify in Case of Emergency * First Name Last Name Alternate Person to Notify in Case of Emergency Cell * (###) ### #### In Case of Emergeny * In an emergency can Pinnell Dance Centre take student to the nearest hospital, doctor or dentist? YES NO Special Medical Instructions: * Please list Special Medical Problems and/or Instructions here. If none, please type "None". Class Registration: * Please select classes based on your dancer's age and ability. If you need help selecting the perfect class for your dancer, we are here to help! Please call us at (614) 476-4140 or contact us at the contact page. Tuesdays (June 17th-July 24th) – 4:15-5:00 PM COMBO 3 (5 yr olds- Tap, Jazz and Ballet) - Ms. Kirsten Tuesdays (June 17th-July 24th) – 5:00-5:45 PM COMBO 1 (3-4 yr olds- Tap and Pre-Ballet) - Ms. Kirsten Tuesdays (June 17th-July 24th) – 5:45-6:30 PM COMBO 2 (4-5 yr olds- Tap and Pre-Ballet) - Ms. Kirsten Tuesdays (June 17th-July 24th) – 6:30-7:15 PM BALLET 1 (5-8 yr olds) - Ms. Kirsten Tuesdays (June 17th-July 24th) – 7:15-7:45 PM BEG JAZZ (5-8 yr olds) - Ms. Kirsten Tuesdays (June 17th-July 24th) – 5:00-5:45 PM COMBO 2 (4-5 yr olds, Tap and Pre-Ballet) – Ms. Amanda Tuesdays (June 17th-July 24th) – 5:45-6:30 COMBO 1 (3-4 yr olds, Tap and Pre-Ballet) – Ms. Amanda Tuesdays (June 17th-July 24th) – 6:30-7:00 PM PRE-COMBO (2 yr olds with parent) – Ms. Amanda Wednesdays (June 17th-July 24th) – 5:00-5:45 PM COMBO 2 (4-5 yr olds, Tap and Pre-Ballet) – Ms. Amanda Wednesdays (June 17th-July 24th) – 5:45-6:15 PM PRE-COMBO (2 yr olds with parent) – Ms. Amanda Wednesdays (June 17th-July 24th) – 6:15-7:00 PM COMBO 1 (3-4 yr olds, Tap and Pre-Ballet) – Ms. Amanda Wednesdays (June 17th-July 24th) – 4:30-5:00 PM BEG TAP (5-8 yr olds) – Ms. Rayne Wednesdays (June 17th-July 24th) – 5:00-5:30 PM BEG HIP HOP (5-8 yr olds) – Ms. Rayne Wednesdays (June 17th-July 24th) – 5:30-6:00 PM BEG LYRICAL (5-9 yr olds) – Ms. Rayne Wednesdays (June 17th-July 24th) – 6:00-6:30 PM BEG HIP HOP (5-8 yr olds) – Ms. Rayne Wednesdays (June 17th-July 24th) – 6:30-7:15 PM BALLET 1/2 (6-9 yr olds) – Ms. Rayne Wednesdays (June 17th-July 24th) – 7:15-7:45 PM JAZZ 2/3 (7-10 yr olds) – Ms. Rayne Wednesdays (June 17th-July 24th) – 7:45-8:15 PM HIP HOP 2/3 (7-10 yr olds) – Ms. Rayne Frozen Dance Camp - June 4th – June 6th - 10:00 AM – 12:00 PM - 3-5 Year Olds -$100 Taylor Swift Dance Camp - June 4th – June 6th - 10:00 AM – 12:00 PM - 6-9 Year Olds - $100 Princess Dance Camp - July 16th – July 18th - 10:00 AM – 12:00 PM - 3-5 Year Olds - $100 Barbie Dance Camp - July 16th – July 18th - 10:00 AM – 12:00 PM - 6-9 Year Olds - $100 Get Ready for JRETTES – Tuesday – June 18th-July 9th – Lyrical – 5:00-5:45 PM – Ms. Josie - $57 Get Ready for JRETTES – Tuesday – June 18th-July 9th – Tap - 5:45 – 6:15 PM – Ms. Josie - $52 Get Ready for JRETTES – Tuesday – June 18th-July 9th – Jazz – 6:15-7:00 PM – Ms. Josie - $57 Medical Liability: * Due to the physical nature of the dance business, I do realize an injury could occur during dance class. I do assume medical responsibility for myself or my child. I have read the above and agree. Class Makeups: * If you need to miss a class, you can attend a comparable leveled class to make up for your absence. Refunds or credits cannot be given in the case of an absence. I have read the above and agree. Class Withdrawal: * Class Withdrawal: We ask for those dancers wishing to withdraw from a class to let the studio know at least one month in advance so we may fill it with a dancer on the waiting list. Failure to withdrawal in a timely fashion will result in a charge of one month’s tuition. I have read the above and agree. Tuition/Late Fees: * Tuition payments are to be made by June 30, 2023. Any payments not received by June 30, 2023 will incur a $5.00 per class late charge. I have read the above and agree. Social Media/Video/Photography Release: * I acknowledge and consent to allow Pinnell Dance Centre to use photos/video of my child in publications (such as flyers/post cards), on our studio website and social media pages. I have read the above and agree. Digital Signature * First Name Last Name Thank you! You are registered for Summer Dance. We’re so excited to have you as a Pinnell Dancer!