Register for 2011- 2012 Hip-Hop

Classes will begin on September 27^th in the main building.

Classes for Pre-K to 2^nd will be held on Tuesdays from 4:00-5:00pm......

Classes for 3^rd-6^th will be held on Thursdays from 4:45pm-5:30pm....

Limited Spaces will be available......

There will be a performance at the end of the sessions.

Cost: $125.00 per student for 12 weeks.

For more information please contact Mrs. Butler @

Registration forms are attached or you can find a copy on the school website.

Early Registration is suggested. Limited spaces are available.

Thanks in Advance,

Linda Butler

Dance Coordinator (Hip-Hop)

South Loop School Hip-Hop Dance Class

Registration Form

Fall 2011

Family Name: __________________________________________________________

Child's Name: __________________________________________________________

Home Phone: ___________________________________________________________

Cell Phone: _____________________________________________________________

Address: ________________________________________________________________

Email Address: _________________________________________________________

Emergency Name: _______________________________________(other than parent)

Emergency Phone: _______________________________________

Please indicate if you child attends South Loop After school Program:

Please circle: YES or NO

Child's DOB:____/_____/____ Age/Grade Fall_________ Teacher______________

*Payment must accompany registration form

*Make Payment by check payable to: Linda Butler

*Please sign the attached Agreement form. Submit with registration form.

Hip Hop 2011-2012

Dance Class Agreement

I fully understand and agree to the policy and terms of South Loop's Hip- Hop Dance Class:

*There are no adjustments or refunds for missed classes.

*In the event of inclement weather or class cancellation an email will be sent by me. There are no make-up classes due to inclement weather. Please make arrangements to pick up your child in the event of class cancellation, (only students not enrolled in Extended Day)

* No refunds unless you cancel one week prior to the beginning of the first class.

* Tuition is based on 10-12 weeks of classes.

*Please make checks payable to: Linda Butler

*There is a $25.00 fee for returned checks due to NSF plus any additional bank fees.

*Sibling discounts available (restriction applies)

Parent: _____________________________________________________________________________________

Date ___________________

Emergency Name: _______________________________________(other than parent)

Emergency Phone: _______________________________________

Please indicate if you child attends South Loop After school Program:

Please circle: YES or NO

Child's DOB:____/_____/____ Age/Grade Fall_________ Teacher______________

*Payment must accompany registration form

*Make Payment by check payable to: Linda Butler

*Please sign the attached Agreement form. Submit with registration form.