Registration

2010-2011
(Fall-Spring)
Registration

North Carolina Dance Institute
2010-2011 (Fall-Spring) Registration Form
Information Entry -> Confirmation -> Complete

Please provide the following information, make your class selections, and then click to submit the form to proceed.

Name of Student:
One form required per student
Name of Parent (s):
(or guardian) If the student is under 18. Example: Jane and John Doe
Street Address:
 
City, State, Zip:
, ,  
Telephone (Home):
 
Telephone (Work):
Multiple numbers may be listed, separated by a space
Telephone (Cell):
 
E-mail address:
Primary e-mail used in correspondence.
Questions or
Comments:

Please list any other questions, comments, etc. here. These will be attached to your form and submitted to NCDI. For general questions, you may first want to review the student information (this opens in another window).

Class Selections:
View the class schedule (this opens in another window)
MONDAY 4:10 PM Jazz 1 [B] with Kirstie (ages 6 - 9)
MONDAY 4:10 PM Jazz 1 with Aleah (ages 6 - 9)
MONDAY 4:15 PM Lil' Peeps Hip-Hop with Nicole (ages 6 - 9)
MONDAY 5:05 PM Jazz 2/3 [B] with Kirstie (ages 10 - 13) [CLOSED]
MONDAY 5:05 PM Modern 1 with Amanda/ Cari-Lenn (ages 10 - 16)
MONDAY 5:05 PM Jazz 1 with Aleah (ages 9 - 12)
MONDAY 6:00 PM Jazz 3 [B] with Kirstie (ages 11 - 16) [CLOSED]
MONDAY 6:00 PM Ballet 2A (MWS) with Melody (ages 10 - 15) [CLOSED]
MONDAY 6:00 PM Jazz 1/2 with Amanda/ Cari-Lenn (ages 11 - 16)
MONDAY 7:00 PM Int Jazz B with Kirstie (ages 15 - Adults)
MONDAY 7:00 PM Ballet 2A (MWS) with Melody (ages 11 - 16) [CLOSED]
MONDAY 7:00 PM Beg/Int Tap with Tiffany (ages 12 - Adults)
MONDAY 8:00 PM Int Jazz with Ashley (ages 15 - Adults)
MONDAY 8:00 PM Ballet 2B w/ Pointe (MWS) with Melody (ages 11 - 16)
MONDAY 8:00 PM Int/Adv Tap with Tiffany (ages 12 - Adults)
TUESDAY 10:00 AM Creative Movement with Sherree (ages 3 - 4) [CLOSED]
TUESDAY 11:00 AM Creative Movement with Sherree (ages 3 - 4) [CLOSED]
TUESDAY 1:30 PM Pre-Ballet & Tap with Brenda (ages 4 - 5) [CLOSED]
TUESDAY 3:30 PM Pre-Ballet with Brenda (ages 4 - 6) [CLOSED]
TUESDAY 4:10 PM Jazz 2 [B] with Kirstie (ages 9 - 11)
TUESDAY 4:15 PM Ballet 1 with Sherree (ages 6 - 9) [CLOSED]
TUESDAY 4:15 PM Pre-Ballet & Tap with Brenda (ages 5 - 7)
TUESDAY 5:05 PM Jazz 2 [B] with Kirstie (ages 10 - 13)
TUESDAY 5:05 PM Ballet 1B (TWHS) with Sherree (ages 9 - 12)
TUESDAY 5:05 PM Ballet 1 with Melissa (ages 11 - 16)
TUESDAY 6:00 PM Jazz 4 [B] with Kirstie (ages 12 - 16) [CLOSED]
TUESDAY 6:00 PM Ballet 2A (THS) with Melissa (ages 10 - 15)
TUESDAY 6:00 PM Kids Hip-Hop with Ronnie (ages 9 - 12)
TUESDAY 7:00 PM Adv Jazz [B] with Kirstie (ages 15 - Adults)
TUESDAY 7:00 PM Ballet 2B (T&H) with Tom (ages 11 - 16)
TUESDAY 7:00 PM Beg Hip-Hop with Ronnie (ages 12 - 15) [CLOSED]
TUESDAY 8:00 PM Ballet 3 (THS) with Tom (ages 13 - Adults)
TUESDAY 8:00 PM Beg Hip-Hop with Ronnie (ages 15 - Adults)
WEDNESDAY 3:30 PM Jazz & Ballet B with Kirstie (ages 6 - 8) [CLOSED]
WEDNESDAY 3:30 PM Jazz & Tap with Brenda (ages 5 - 7)
WEDNESDAY 4:15 PM Jazz 2 [B] with Kirstie (ages 9 - 12)
WEDNESDAY 4:15 PM Jazz 1 with Aleah (ages 8 - 11)
WEDNESDAY 4:15 PM Jazz & Tap B with Brenda (ages 6 - 9)
WEDNESDAY 5:05 PM Ballet 1B (WTHS) with Melody (ages 9 - 12)
WEDNESDAY 5:05 PM Ballet 1 with Sherree (ages 9 - 12)
WEDNESDAY 5:15 PM Lil' Peeps Hip-Hop with Ronnie (ages 6 - 9) [CLOSED]
WEDNESDAY 6:00 PM Ballet 2A (MWS) with Melody (ages 10 - 15) [CLOSED]
WEDNESDAY 6:00 PM Ballet 1 with Sherree (ages 11 - 16)
WEDNESDAY 6:00 PM Kids Hip-Hop with Ronnie (ages 9 - 12)
WEDNESDAY 7:00 PM Ballet 2A (MWS) w/ Pre-Pointe with Melody (ages 11 - 16)
WEDNESDAY 7:00 PM Beg Ballet with Sherree (ages 13 - Adults)
WEDNESDAY 7:00 PM Int Hip-Hop with Ronnie (ages 13 - Adults)
WEDNESDAY 8:00 PM Ballet 2B (MWS) with Melody (ages 13 - Adults)
WEDNESDAY 8:00 PM Beg/Int Jazz with Ronnie (ages 13 - Adults)
THURSDAY 11:00 AM Int Ballet with Melody (ages Adults - Adults)
THURSDAY 1:30 PM Pre-Ballet & Tap with Brenda (ages 4 - 5)
THURSDAY 2:30 PM PreDance with Kirstie (ages 4 - 5)
THURSDAY 3:30 PM Jazz & Ballet B with Kirstie (ages 6 - 8) [CLOSED]
THURSDAY 4:10 PM Ballet 1 with Melissa (ages 6 - 9) [CLOSED]
THURSDAY 4:15 PM Jazz & Ballet B with Kirstie (ages 6 - 8) [CLOSED]
THURSDAY 4:15 PM Jazz & Ballet A with Brenda (ages 5 - 7)
THURSDAY 5:05 PM Jazz & Ballet B with Kirstie (ages 7 - 9)
THURSDAY 5:05 PM Ballet 1B (WTHS) with Melissa (ages 9 - 12)
THURSDAY 5:05 PM Jazz & Ballet A with Brenda (ages 5 - 7)
THURSDAY 6:00 PM Modern 2B with Sarah & Brooks (ages 10 - 16)
THURSDAY 6:00 PM Ballet 2A (THS) with Melissa (ages 10 - 15)
THURSDAY 6:00 PM Tap 2 with Aleah & Brenda (ages 9 - 12)
THURSDAY 7:00 PM Modern 3 with Sarah & Brooks (ages 15 - Adults)
THURSDAY 7:00 PM Ballet 2B (TH) with Tom (ages 11 - 16)
THURSDAY 7:00 PM Beg/Int Hip-Hop with Aleah (ages 13 - Adults)
THURSDAY 8:00 PM Ballet 3 (THS) with Tom (ages 15 - Adults)
THURSDAY 8:00 PM Int Contemp Jazz with Aleah (ages 15 - Adults)
FRIDAY 10:00 AM Creative Movement with Brenda (ages 3 - 4)
FRIDAY 4:15 PM Ballet 1 with Sherree (ages 6 - 9)
FRIDAY 5:00 PM Modern 1/2 with Sherree (ages 10 - 16)
SATURDAY 9:00 AM Ballet 1B (TWHS) with Melody (ages 9 - 12)
SATURDAY 9:15 AM Creative Movement with Brenda (ages 3 - 4) [CLOSED]
SATURDAY 9:15 AM Lil' Peeps Hip-Hop with Aleah (ages 6 - 9)
SATURDAY 10:00 AM Ballet 2A (MWS) with Melody (ages 12 - Adults)
SATURDAY 10:00 AM Pre-Ballet & Tap with Brenda (ages 5 - 7) [CLOSED]
SATURDAY 10:00 AM Jazz 1 with Aleah (ages 9 - 12)
SATURDAY 11:00 AM Ballet 3 (THS) with Melody (ages 13 - Adults)
SATURDAY 11:00 AM Jazz & Ballet with Brenda (ages 6 - 9) [CLOSED]
SATURDAY 11:00 AM Jazz & Ballet with Aleah (ages 6 - 9)
SATURDAY 12:30 PM Int Modern with Sarah (ages 13 - Adults)
All student class selections are subject to approval by the Artistic Director.
Beg - Beginner,   Int - Intermediate,   Adv - Advanced
1, 2, 3, A, B... - Indicate class levels. 2B is higher than 2A, which is higher than 2, which is higher than 1. Classes without a level are considered beginner level.
[CLOSED] - A class is filled and cannot accept new students.
     Ask about waiting lists for closed classes.
[B] - Indicates 1 ballet class weekly required.
(MTWH), (MWS), (TH), (THS) - Accelerated classes meet twice weekly.
     Choose 2 of the specified days: Mon, Tue, Wed, THr, Fri, Sat.
TBA - To Be Announced.

The following must also be completed for all new students
and updated annually for returning students:
Date of Birth:
mm/dd/yy
School:
 
Emergency Contact:
 
Emerg. Contact Tel:
Telephone number of the emergency contact person
Prior Dance Training:
Briefly describe what/where you studied and for how many years
Medical Problems:
Things we should be aware of, ex: allergies, previous injuries
Special Needs:
Things we should know to help us teach your child, ex ADD
How Did You
Hear About Us?
Website
Friend
Yellow Pages
CarolinaParent
Drove by
Other
Please let us know how you first heard about NCDI and what helped you decide to join. You may check multiple options.