Mark Spivak's Institute
dance

REGISTRATION AND PAYMENT

You may download the registration form and send by mail or fax. You can also fill out and submit the form below and we will contact you as soon as we receive it.

You can now submit your payment online. Please see this option below.

BY MAIL OR FAX

    •    Download Registration and Media Release forms.
    •    Enclose payment
    •    Send your form and payment to:
         Mark Spivak's Institute and Dance Extension
         3740 San Jose Place, Jacksonville, FL 32257
    •    Fax: (904) 287-9136

FALL REGISTRATION FORM

Location
Parent 1 Home Ph #
Work # Cell #   Emergency #
Parent 2 Home Ph #
Work # Cell #   Emergency #
Address Zip
Email
Student 1      First Name
Last Name DOB Age
Student 2      First Name
Last Name DOB Age
Academic School Grade
Any Medical Problems we should be aware of
Location Class, Room # Day Time Teacher
Please enter Day of the Week as M/T/W/TH/S
Recital    Yes   No
 
Date  Your Name

Annual Tuition
Monthly Tuition
Hourly Classes
45 Min Classes
NFA Team Additional Fee
Tumbling Kids
Would you like to add extra fee toward recital?

•    $ 5.00 convenience fee will be added to tuition when paying by credit card.
      This convenience fee will be showing on the payment pages as Shipping and
      Handling fee.
•    You may choose to set up e-banking (paying bills online from your bank)
      and pay to Mark Spivak’s Institute as a biller directly from your bank.
•    Please use address of the Mandarin location:
      3740 San Jose Place, Jacksonville, Fl 32257.

•    Combination of hourly and 45 min classes charged at hourly rates.
•    Variations are additional fee of $ 25.00 per month and require student to be
      enrolled into minimum of 5 hours per week. It is also mandatory 3 hours of
      private classes during the school year; could be scheduled in sequences of
       30 min - 45 min - 1 hour classes.
•    In order to take Character student must take Ballet class simultaneously.
•    Pre Pointe class can not substitute Ballet class. Student has to be enrolled in
      2 Ballet classes to be in Pre Pointe Class.

 

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Mark Spivak's Institute and Dance Extension
Jacksonville, Florida
(904) 268-3583


© Copyright 2002
Mark Spivak's Institute and Dance Extension