Pre-Registration for Fall 2009 Classes at Momentum Center for the Arts   Student Name _______________________________________________________ Parents’ Name ________________________________________________________ Address ________________________________ City__________________ Zip _____________ Home Phone ________________________   Cell Phone___________________ Birth Date   _________________  School____________________  Grade_____________ Classes (please check all interested in)     Creative Movement (3 and 4 year old)     Ballet/Tap (5 and 6 year olds)     Ballet     Pointe (12 and up)     Modern Hip Hop  Tap   Jazz   New this year!! – Theatre Arts Classes (see flyers at ticket table for more information)     Acting/Improv classes               Vocal classes     Stage Crafting(ages 13-18)        Audition 101  Mail this form with a check for $25 and save $10 off your fall registration cost: Momentum Center for the Arts P.O. Box 887 Clarksburg, WV 26301 This pre-registration reserves a space for your student. Please plan to attend our Open House/Registration on August 15th from 10 am—2 pm to formally register your child. If you cannot attend this, please call the studio and arrange a time to register your child.