Kay's School of Dance
Day and class time you had for the 2022 year:
____________________________
Kay’s School of Dance
Fall 2022- 2023
Pre – Registration Form
540 – 869 - 2735
Classes will start Sept 6, 2022
Registration Fees and tuition are due the first day of class.
$ 25. NON – Refundable Registration fee for all NEW students
$ 20. NON – Refundable Registration fee for all RETURNING students
Student Name: __________________________ Age:__________ Birth Date: ___________
Parent Names: ________________________________________________________________
Address: _____________________________________________________________________
E – Mail : ____________________________________________________________________
Home Phone: __________________ Work : _______________ Other: ___________________
45 Minute Classes: $55 Per Month One Hour Beginner- Ballet - Tap combination class: $65 per month
______ Creative Movement ______ Ages 6 – 7 ________ Ages 8 – 10 ________ Ages 11- 14
Age 3.5 – 4.5
______Kinder Ballet
Ages 5
Visit the web site to see the class schedule and more!
45 minute Beginner Contemporary / Lyrical Ages 9 and up: 6 week intro session ________
One Hour: Musical Theater Dance: Mixed ages: 7 and up______
Interested in Adult classes? ____ tap ____ballet ___ballroom
1 ½ Hour Combination Classes: $ 110 per month
Beginner Ballet – Tap – Jazz: ____ ages 6 – 8 _____ages 8 – 10 ____ ages 11 – 14 ____15 & up
2nd year Ballet – Tap – Jazz : ____ ages 6 – 8 _____ages 8 – 10 ____ ages 11 – 14 ____15 & up
3rd year or more:
Ballet – Tap – Jazz: ______ages 6 – 8 _____ages 8 – 10 ____ ages 11 – 14 ____15 & up
Intermediate and Advanced Classes: Ages 10 and up and takes more than 2.5 hours a week.
_____Ballet Technique ( pointe ) ______Contemporary - Lyrical
______Advanced Tap
______Advanced Jazz
_____ I am a dance team member and will take the required classes of Ballet Tech and Tap and Jazz classes.
Please return this to the Kay’s School of Dance
the following address: Kay Teachout
406 Albin Drive
Stephens City ,VA. 22655
Please list any question, comments, or preferred days
or times for classes or notes for teachers:
Comments:____________________________________________________________________________________________________________________________
*Miss Kay keeps a list of potential students so classes can be designed around your interest and day/time availability. I do my best to accommodate your request but it's not a guarantee. Please make a note below of best day or time or if any day/ time is good. You will be contacted late August about your placement in class.