top of page
     Summer Application 2023
          Kay's School of Dance
    5103  Main Street, Stephens City Va 22655

Name of Student:____________________________________________________________________

                    Age: ____________________   Birth Date: _____________

​

Contact Info:

Parents/ Guardian: _________________________________________

Address:_______________________________________________________________________

Phone(s): ________________________________________________________________________

I am interested in registering my child for the 3 week x 2 times a week summer session.

I would like to sign up for the following class. 

I understand if there is not enough enrolled the class will be cancelled.

Please mail application to this address:    Kay Teachout

                                                                       406 Albin Drive 

                                                                       Stephens City, VA  22655

Creative Movement - ages 3.5 - 4.5      Tues/Thurs 9:30 - 10:15 a.m.

Kinder Dance age 5                          Tues/Thurs 10:15 a.m. - 11:00 a.m.

Beginner Baller & Tap  Ages 6 - 8    Tues/ Thurs 11:00 - 12 noon

Ballet/Tap/Jazz   Ages 7 - 9            Tues/ Thurs   12:30 p.m. -2:00 p.m.

Intermediate/Advanced  Ages 9 and up    MON & WED     5:30 - 7:30 p.m.
Ballet/Tap/ Jazz/ Contemporary

bottom of page