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Registration Form

FALL 2010

Name__________________________________ Home Phone _____________

Address________________________

City ________________ State ______________ Zip____________

Date of Birth _____________

(If student living with parent, please complete the following)

Student's School _________________________________ Grade ________

Parent's Name _______________________________ Parent's Business Phone _______________

Parent's Cell Number _____________________ Day Email Address ________________________

Policy Statement

I have read and understand the policies regarding tuition payment fees, make-up classes and lessons, and terminations. Parents

of dance students, please read all polices pertaining to dance completely

before signing the polices statement below.

Signature of Student (Parent/Guardian if student is a minor) ________________________________ Date___________________

Photo Release Request

I hereby give permission for the School of Fine Arts to use photographs/videos of my/my child's likeness in publications and for

promotion purposes. Signature of Student (Parent/Guardian if student is a minor) _________________________________

Date__________________________

Print form and indicate the class and time of instruction. Include registration fee (make checks payable

to First Baptist Church) and mail to:

First Baptist Church The School of Fine Arts PO Box 1667 Decatur, AL 35602


*Family Music for Babies* ___Tuesday, 11:15-11:45 am* ___Friday, 9:30-10:00 am* *Family Music for Babies* *& Toddlers* ___Tuesday, 6:15-6:45 pm *Family Music for Toddlers* ___Tuesday, 9:30-10:00 am* ___Friday, 10:15-10:45am* Cycle of Seasons *Musik & More* ___Tuesday, 10:15-11:00 am* ___Thursday, 6:15-7:00 pm ___Friday, 11:00-11:45 am* *MusiKids* ___Tuesday, 1:00-2:00 pm Childcare is available for siblings. __________________________________ Please indicate names and ages of* siblings needing childcare. *____ Piano Class --* *Music Makers* *at the Keyboard* Class time to be determined by students and teacher.	MONDAY ___ 3:30-4:30 pm Elementary Ballet I ___ 3:40-4:25 pm Intro to Dance ___ 4:30-5:30 pm Elementary Ballet II ___ 4:40-5:25 pm Pre-Ballet ___ 5:30-7:00 pm Intermediate Ballet I/II ___ 7:00-8:00 pm Beg/Intermediate Pointe TUESDAY ___ 9:30-10:30 am Pre-Ballet/Pre-Tap ___ 10:45-11:30 am Intro to Dance ___ 3:30-4:15 pm Tap I/Jazz I ___ 3:30-4:15 pm Tap II ___ 4:20-5:05 pm Jazz II ___ 4:30-5:30 pm Elementary Ballet I ___ 5:15-6:15 pm Pre-Ballet/Pre-Tap ___ 5:30-6:30 pm Beg Liturgical Dance ___ 6:30-7:15 pm Tap IV ___ 7:15-8:00 pm Jazz IV ___ 8:00-8:45 pm Teen Jazz WEDNESDAY ___ 3:30-4:15 pm Jazz III ___ 4:15-5:00 pm Tap III ___ 7:15-8:15 pm Advanced Tap THURSDAY ___ 3:30-5:00 pm Elementary Ballet III/IV ___ 5:00-6:00 pm Modern/Liturgical Dance ___ 6:00-7:30 pm Intermediate/Advanced Ballet ___ 7:30-8:30 pm Intermediate/Advanced Pointe	Under The Sea - An Art Adventure ___ Grades K-2 Tuesday 3:30-4:30 pm ___ Grade 3-5 Tuesday 4:30 - 5:30 pm ___ Alto Saxophone - Devin Suits ___ Banjo - Jerry Miller ___ Cello - Elizabeth Loy ___ Electric Bass - Jerry Miller ___ Flute - Meghan Clayton ___ Guitar - James McCutcheon ___ Guitar - Emily Jones ___ Guitar - Jerry Miller ___ Mandolin - Emily Jones ___ Piano - Tommi Jo Hurt ___ Piano - Lina Miller ___ Piano - Glenda Briley ___ Pipe Organ - Elizabeth Carter ___ Voice - Lina Miller ___ Voice - Stacy Owens ___ Viola - Robin Pettey ___ Violin - Elizabeth Loy ___ Violin - Robin Pettey