Dance Upstairs

Academy of Performing Arts  

 "The Yadkin Valley's Premier Dance School”

336-835-5272 www.danceupstairs.com

2008-2009 Registration Form

q Current Student        q I am not a student, but interested in fall classes!    q Only Camp

Name ____________________________________________________

Age _______ Birth Date  _____/______/______

Parent Name (s) ____________________________________________

Mailing Address ____________________________________________

City ____________________ State ______ Zip ___________________

Home Phone _________________ Alternate Phone ________________

Which camp do you wish to attend?

q Princess 9:00am-12:00pm  $65.00  q Movie Magic Camp 1:00pm-4:00pm $65.00

q Both Camps for $115.00

PLEASE MAIL THIS FORM  WITH YOUR $65.00 for one camp or $115.00 for both camps fee to: 

Dance Upstairs 246 East Main Street Elkin, NC  28642

(ALL FEES NON-REFUNDABLE)