marlo dance studio
(541) 252-1394
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"What an amazing resource Coos County has in MarLo Dance Studio!
The quality of the instruction and the productions for a small town is extraordinary..."
Mel G. {Adult Ballet & Jazz Student}

 

Register for Classes

For your convenience, we offer online registration or the option to register in person via forms. There is a registration fee of $30 for returning students; $35 for new students; and $60 for families. (There is no registration fee for YogaLates/Pilates)
 

Register In Person Via Printable Forms
Please download, print and complete the Registration Form; then hand it in at the studio with a check/cash for your registration fee.
 

Register Online Now
Please complete all of the information on the form below, then click the Register button at the bottom. Your credit card information will be taken at this time, and the registration fee amount selected below will be run on your card. (No other credit card charges will be made at this time.)
 

*** If registering more than one student, please submit a form for each student. ***
 

Student Information and Class Selections
Student's NameDate of Birth
Grade (if applicable)Name of School (if applicable)
PLEASE MAKE YOUR CLASS SELECTIONS:
(Weekly hours denote billing time and are shown in parenthesis)
CREATIVE MOVEMENT
Monday Preschool (1.0) -
Weds. Preschool (1.0) -
Kindergarten (1.0) -
Pre-Primary (1.0) -
BALLET
Primary 1 (1.0) -
Primary 2-3 (1.0) -
Beginning 1 (2.0) -

The following classes also require enrollment in Ballet Acceleration:
Intermediate 1 (2.5) -
Intermediate 2-3 (3.0) -
Intermediate 4 (3.0) -
TAP
Primary 1 (1.0) -
Primary 2 (1.0) -
Primary 3 (1.0) -
Teen/Adult Intro to Tap  (1.0) -

Beginning (1.0) -
Intermediate (1.0) -
Intermediate Adult (1.0) -
Intermediate 3/Upper (2.0) -
JAZZ/LYRICAL
Jazz 1 (1.0) -
Jazz 2 (1.0) -
Jazz 3* (1.0) -

Lyrical 2* (1.0) -
 -
BALLET ACCELERATION
Beginning/Interm. 1 (1.0) -
Intermediate 3-4 (1.0) -
Intermediate 4 (.5) -
HIP HOP
Hip Hop 1 (1.0) -
Hip Hop 2 (1.0) -
DANCE FITNESS
Ballet Teen/Adult (1.0) -
YogaLates (1.0) -
Pilates (1.0) -

Count the total hours (shown in parenthesis) of your selected classes
and list that amount here. This is an estimate of dance hours per week.
NO PAYMENTS for classes will be made at this time.

TOTAL CLASS HOURS =

Parent/Guardian(s) Information
Parent #1 Name   
AddressCityZip Code
EmailPhoneCell
Please list the email that you check the most often, as our newsletters will be sent via email.
Parent #2 Name   
AddressCityZip Code
EmailPhoneCell
Please list the email that you check the most often, as our newsletters will be sent via email.
Medical Information
In case of EMERGENCY and the above parent or guardian(s) cannot be reached, please call:
NamePhone
Relationship to Student  
Do any of the registrants have physical limitations (asthma, arthritis, previous injury, etc.):     YES -   NO -
       If YES, please describe:
Do any of the registrants have learning a learning disability (ADD, ADHD, Asperger's, etc.):    YES -   NO -
       If YES, please describe:
Waiver
YES - NO - MDS occasionally takes photos of classes. May we use photos of students from this account for brochures, news releases, website, social media, etc.?
YES - NO - I understand that I (my child) dance at my own risk. I will not hold MarLo Dance Studio or its instructors responsible for any injury occuring during, before, or after classes.
YES - NO - I will thoroughly read the MarLo Dance Studio 2016/17 Revised Policy Handbook. I understand that my participation with MarLo will fall within MarLo's stated policies. If I find that I cannot comply with the policy handbook, I have three (3) days from the time of registration to request a full refund and withdraw student(s).
YES - NO - I understand that if I have a child 12 and under a parent from our family will take a turn overseeing my child's class during 1 of 4 spring performances; as detailed in the Policy Handbook.
Signature of Adult Student or Parent/Guardian
Please type in full name:    
(By typing in my name I agree/accept the waivers and information on this registration form and consider this as my legal signature)
How to Complete Registration
Enrollment will be complete after MDS has reviewed your class selection and processed your registration fee.
          New Students – $35
          Returning Students – $30
          Family Registration – $60
         
 (There is no registration fee for Fitness or Ballroom classes)
Please bill my debit/credit on file. I do not have a card on file.
An MDS director will telephone for your debit/credit information.

Click Button to Submit Registration
You will receive an email confirming your registration.
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MarLo Dance Studio

STREET ADDRESS
205 Ohio Avenue S.E.
Bandon, OR 97411

MAILING ADDRESS
88216 Hwy 42 South
Bandon, OR 97411

CONTACT US
(541) 252-1394
marlo@marlodance.com

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