To register simply fill in this form, print and mail. Please fill out one form per student. Registration Fee: $25.00 Make check payable to: KAD

Enclose check and mail to:

Kathleen Academy of Dance, 411 Route 206, Towne Centre
Hillsborough, NJ 08844 ~ 908-359-8888

Facility Curriculum Special Programs Staff Registration Dance Boutique Birthday Parties Calendar Stars of Tomorrow	Name:
	Date of Birth:
	Age:
	Address:
	City:
	Zip:
	Home Phone:
	Work Phone:
	Class(es) desired:	Tiny Tots Combination I Combination II Tap Jazz/Hip-Hop Ballet Pointe Lyrical
	Previous experience, if any: