Jane Whitt's Dance Studio                                                                 Enrollment Form                                                                       2010-2011 Student Name   ________________________________________________________ Address  _____________________________________________________________ City _____________________  Zip ________  Phone ____________________ Birthdate ___/___/___   Grade-Fall 2010 _______   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.