REGISTRATION FORM FOR MYERS STUDIO

We are asking that all students complete a registration form. If you are a new student this semester, please enclose a $20 registration fee. This is a one time, per family fee, prior to entrance into the school.

TERM YOU ARE REGISTERING FOR ________________________________

                        (Fall, Winter, Spring or Summer)

NAME________________________________________ DATE____________________

ADDRESS_____________________________________________________________

CITY_________________________________________ ZIP _____________________

PHONE – CELL _______________ HOME________________ WORK______________

E-MAIL_____________________________________     Date of Birth_______________

CLASSES YOU ARE REGISTERING FOR (please list days and classes):  __________________________________________________________________________________________________________________________________________________________________________________________________________________

PARENT (S) NAME _____________________________ PHONE __________________

SPECIAL CONCERNS (CUSTODY, ALLERGIES, ETC.) _________________________

_____________________________________________________________________

PLEASE MAIL YOUR REGISTRATION FORM AND TUITION TO:

MYERS STUDIO, PO BOX 828, SCHENECTADY, NEW YORK 12301 OR DROP IT OFF IN THE TUITION BOX THE FIRST DAY OF CLASS.

DRESS CODE (GIRLS) – BLACK LEOTARD WITH PINK TIGHTS AND SHOES

(BOYS) – WHITE TANK LEOTARD WITH BLACK TIGHTS AND SHOES. NO COLORS, SKIRTS (EXCEPT IN POINTE CLASS), JEWELRY OR WARM UPS ALLOWED IN CLASS.

TUITION FEES ARE TO BE PAID (IN FULL) AT THE BEGINNING OF EACH TUITION TERM. PLEASE CHECK THE TUITION PAYMENT SCHEDULE