Thank you for choosing Kathy's Tumbleweed!!!
Before sending registration form you must first contact Kathy @ 978-462-6224 to
be advised of your level and class availability and then confirmed. Also Kathy will discuss studio rules, schedule
of holiday vactions, registration fees, tuition fees and tuition payment options.
Registration Form Season 2011 thru 2012
Students Name: ________________________________________Students Birth Date: _________________________ Age: ________Parents / Guardian Names: __________________________________
___________________________________Mailing
Address: _______________________________________
_______________________________________Email
Address: ___________________________________________Contacts: Home Phone: ___________________________________
Work Number: __________________________________
Cell Phone: _______________________Name: ____________________
Cell Phone: _______________________ Name: ____________________Siblings taking classes @ Studio
Name: _______________________________
Name: _______________________________
Name: _______________________________
Payment Option: ________ #1 _______ #2 ________
#3 Note: 8 week programs must be paid in full on or before first class and are not transferable or refundable
___________YES
I do wish to take part to be considered for attendance award recognition at the end of the 2011-2012 season.
___________NO I do wish to take part to be considered for attendance award recognition
at the end of the 2011-2012 season.
I understand and agree with all information discussed concerning Studio and attendance
rules. I understand registration fees, tuition fees and any additional recital costs which may come up. I have choosen the
tuition payment option I desire and I agree to the terms and payment Schedule. I have checked the
apropiate box as needed to be considered for attendance award recognition. __________________________ Sign
_________________ Date
