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Kay's School of Dance
5103 Main Street
Stephens City, VA 22655

Summer Registration Form 2026

Kay's School of Dance

5103 Main Street

Stephens City, VA 22655

540 - 327 - 8122

Name of Student: _______________________
Age of Student: _

Parents/Guardians Name:________
Address:_
Phone(s):
E-Mail:___________________________

I am interested in the TWO week summer session.....attend 3 times a week M-W-F

______Creative Movement 3.5 - 4.5 years old

_______Kinder Ballet 5 year olds

________Beg Ballet & Tap 6 - 8 year old's

I am interested in the THREE week session.....attend 2 times a week for 3 weeks Tues & Thurs

________ Beg Mini's Hip Hop ages 5 - 7

_________Hip Hop ages 11-15 (Beginner/Interm)

_________Adult Beg Hip Hop ages 15 to adults

Please mail form to:

Kay Teachout

406 Albin Drive

Stephens City, VA 22655 Please mail by June 12th

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