Please complete one form per student. First payment is due at or before the first class. If registering online, you can mail the payment to Kenosha Academy of Dance, 3016 75th Street, Kenosha, WI 53142. All tuition is non-refundable. We do not accept credit cards. A $25 fee is charged for all returned checks. A $25 fee is charged for all late tuition. Registration fee: $10 per student. Call the studio at 262-605-3951 with any questions.

Fall Session Tuition

Registration fee per student	$10
1 class per week	$180
2 classes per week	$342
3 classes per week	$508
4 classes per week	$670
5 classes per week	$828
Unlimited student	$983
Unlimited Family	$1296

Registration Form

Student Name:
Phone:
Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
DOB:
Parent/Guardian Name:
Class 1:		Class Day:		Class Time:
Class 2:		Class Day:		Class Time:
Class 3:		Class Day:		Class Time:
Class 4:		Class Day:		Class Time:
Class 5:		Class Day:		Class Time:
Amount Due:
Registration Fee:	$10 per student
Total Amount Due: