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Monday Tuesday Wednesday Thursday Friday Saturday Mommy & Me Age 2.5-3 Mommy & Me Age 2.5-3 Beg. Ballet Age 5-7 Adv. Ballet 9:00-10:00 Placement Set Barre & Pointe Placement Ballet & 9- Hip Hop III Ms. Angela Lyrical III 4:30-5:30 Hip Hop II Pre Ballet Age 5-6 Combo I Age 6-8 Lyrical II Classes September 11 - December 22 at 450 Lewis St. Hip Hop III Ms. Angela Hip Hop II Combo I Age 6-8 Age 5-8 Ballet & 9+ Lyrical III 4:30-5:30 Ages 5-8 3:00-4:00 Ages 9+ Pre Ballet Age 5-6 Ballet & 10:15-11:15 Age 9- Lyrical I 11:15-12:15 Age 5-7 Choreography & Style 12:15-1:15 7-

, Fitness & Classes at 450 Lewis St. Monday Tuesday Wednesday Thursday Friday Saturday 6:00-7:00am 6:45-7:45am 6:00-7:00am 6:45-7:45am Ballet & $12/class Pricing Ballet & (719) 600-1640 Ballet & 10:15-11:15 Age 9- $5/class or $40 for punch pass (10 classes) $5/class or $40 for punch pass (10 classes) Note: This class begins at a later date, contact Angela for details. Ballet $45/month (one class), $90/month (two classes) (970) 946-4915 (970) 946-4915 Dee Pitchon (970) 946-9080

PSDA Tuition Payment is due the first week of each month, with the exception of September. 1 st Semester Session: Ø September 11 December 22 o Thanksgiving Break: November 20-24 o Christmas Break: December 25-29 2 nd Semester Session: Ø January 2 May 25 o Spring Break March 26-30 o Memorial Day May 28 Recital Ø Date TBD: May/June Pricing Ø All Scheduled Classes $45/month Sept. - May o One class per week: $45 o Two classes per week: $90 o Three classes per week: $135 o Four classes per week: $180 Ø Costumes o $45 Child XS- M o $55 Child L- XL o $65 S- XL Ø Fitness classes are priced at the discretion of the instructor. Dress Code Ballet,, Combo: Leotard and tights, hair pulled back. Shoes: Leather ballet shoes in pink. Lyrical: Leotard or fitted top, shorts or leggings, tights optional. Hair pulled back. Shoes: Capezio foot undeez half sole in Nude. Hip Hop: Comfortable, breathable clothing, tennis or athletic shoes. : Leotard or fitted shirt and shorts. No shoes. shoes can be purchased at discountdance.com

Registration and Liability 1. In consideration of being allowed to participate in the activities and programs Pagosa Springs Academy, and the hosting facilities, equipment and machinery in addition to the payment of any fee or charge, I do hereby waive, release, and forever discharge Pagosa Springs Academy and the hosting facilities officers, agents, employees, representatives, executors, and all others from and and all responsibilities of liability from injuries or damages resulting from my participation in any activities or my use of equipment or machinery in the above mentioned activities. I do also hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself including those caused by the neglect act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any activities of Pagosa Springs Academy, and the hosting facilities. Please initial 2. I understand and am aware that physical activity, including the use of equipment, is potentially hazardous. I also understand that activities involve a risk of injury and even death, and that I am voluntarily participating in the activities and using equipment and machinery with knowledge of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death. Please initial 3. I do hereby further declare myself (or my child) to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my (or my child s) participation or use of equipment or machinery except as hereinafter stated. Parent/Guardian Signature: Parent/Guardian Printed Name: Date: Student name(s): Address: Email 1: Email 2: Phone: Student Birthdate: Class/es: Emergency Contact Name: Emergency Contact Phone:

Photo Release Form Please be advised that your child may be photographed or video taped at various Pagosa Springs Academy (PSDA) classes and performance events. If you would like your child s photo to appear on the PSDA website, Facebook page, or related advertisements, please sign the form below. Please sign and return this form. Student s First and Last Name Yes, I give permission for my child s photograph and/or video to be used at the discretion of PSDA. No, my child s photograph and/or video may not be used or published. (Parent/Guardian Signature) (Date)