Jane Whitt's Dance Studio                                                                 Enrollment Form                                                                       2011-2012 Student Name   ________________________________________________________ Address  _____________________________________________________________ City _____________________  Zip ________  Phone ____________________ Birthdate ___/___/___   Grade-Fall 2011 _______   School _________________ Parent/Guardian Name  __________________________________________________ Daytime Phone _____________________   Email ____________________________ A non-refundable $20.00 fee is due at time of enrollment.  Once this form is received at the studio, you will be given the Enrollment Contract for your child which contains specific information regarding class times and fees.