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Fall ‘26 Enrollment Form
Little Bear Dance Center

 

Please complete this enrollment form, per student taking classes. $10 enrollment fee each student (adult class excluded!). (Can also use -1 bundle class if prepaid in lieu of fee).

Pay by the class or bundle to save for multiple family members or for students taking multiple classes per week.

Prices Per Class
1 for $12
Bundle 4 for $40 
8 for $75 
12 for $105
16 for $130

Fall Events include (but not limited to): Homecoming Parade, Christmas Parades, Christmas Recital. Fees may apply for commitment and costumes.

Wednesdays and Thursdays reserved for future classes to be added, semi or private lessons, specialty nights, and competition class. Fridays-Sundays reserved for birthday parties.

Limited scholarships available! Contact [email protected] or 580-795-4569 with questions! We will reach out via email after receiving enrollment forms. Thank you!

103 E Main St. Madill (formerly the Event Room
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1.
Parent First and Last Name
*
2.
Email address -
*
3.
Phone number -
*
4.
Student First and Last Name
*
5.
Student Date of Birth
*
6.
Class enrollment for student (check all that you want your child to take weekly that is available for their age group): [Checkboxes]
Toddler dance 15 months to 3 years (Mondays) WAITLIST as of 8/3
3-4 year old ballet (Mondays)
5-7 year old ballet (Mondays)
6-10yr Cheer & Tumble (Mondays)
+8 year old ballet (Tuesdays)
6-10yr Jazz (Tuesdays)
All level hip hop (Tuesdays)
Adult Combo Dance (Tuesdays)
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7.
Do you acknowledge and agree to the prices for class with Little Bear Dance Center? (Prices subject to change at owner's discretion).

Enrollment Fee $10
Per Class $12
$40 for 4 Classes
$75 for 8 Classes
$105 for 12 Classes
$130 for 16 Classes
Yes!
No, I need other options for my family.
*
8.
Do you agree to pay by Cash, Check, CashApp ($3LBDC), or Venmo (@LittleBearDance)?

Yes!
No, I'm not able to pay by above methods. Please work with me on other options. 
*
9.
Health issues teacher should know about?
10.
Emergency Contact
Name:
Phone Number:
Relationship to Student:
*
*
11.
I give permission for photos/videos of me or my child to be used for promotional purposes.
Yes! 
No, thank you
*
12.
Is there anything else Miss Jenny needs to know? We are so excited to dance with you!
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