Terry Fyke Studio of Dance & Arts LLC

Terry Fyke
Stuido of Dance
& Arts LLC

tfsdarts@hotmail.com
www.tfs4dance.com

3721 Scottsville Rd.
Scottsville, NY 14456

t: 585.889.5920

Quick Links
Med. Release / Reg. Form
Contact Us
TFSD YouTube Channel

To Register for Classes:

Please fill out a printable registration form and mail payment to
3721 Scottsville Rd., Scottsville, NY 14546.
or fill out our Online Registration form:

Online Registration Form
Please fill out all fields to ensure correct information is transmitted

Please select *

Theater

Earthen Vessels

Student's Name *

First

Last

Student's Birthday *

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email *

Parent Home Phone Number *

###

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Parent Home Phone Number (secondary)

###

####

Cell Phone Number *

###

####

Cell Phone Number (secondary)

###

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Emergency Contact *

First

Last

Emergency Phone Number *

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Health Insurance Company and Number *

Known allergies and health or food restrictions or special needs *

Monday Classes

6:80-8:00 ($25)

June 11, 18 & 25

Tuesday Classes

Ages 6-9; 6:00-6:45 ($20)

Ages 10-13; 7:00-8:00 ($25)

June 14, 21 & 28

Honk!

Grades 3-10 ($150)

Grades K-2 ($75)

April 9th-13th; Show April 14th

Winnie The Pooh

Grades K-6 ($100)

July 9th-19th; Show July 21st

High School Musical

Ages 12-18 ($175)

July 23rd-Aug 3rd; Show Aug 4th

Community Theater

Ages 16-Adult

July 16th-Aug 10th

Students Dress/Shirt Size *

Students Pants Size *

Guardian Name *

Date *

YYYY

By submitting this form:

I allow my child to participate in this program and hold harmless TFSD & Arts LLC. In the event of an emergency and time is a factor, I authorize the Instructors to make a decision in the best interest of my child.

Please mail payment to 3721 Scottsvile Rd., Scottsville, NY 14546

Or bring with you on first day of class.

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