Monday: 6:45 – 7:45 ……………………………..Intermediate Tumbling… Dance 2… and Stretch

Tuesdays: 5:30 – 6:30 ………………………….Beginning Cheernastics… Zumba… and Hip Hop

Tuesdays: 6:45 -7:45 ……………………………Intermediate Tumbling… Adult Jazz… and Boys Hip Hop

Wednesdays: 2:30 – 3:30 ……………………..Dance 3 and Pre-Pointe

Wednesdays: 3:45 – 4:45 ……………………..Dance 4 and Pointe

Thursdays: 5:30 – 6:30 ………………………..Beginning Tap, Ballet, & Jazz class and Zumba

Thursdays: 6:45 -7:45 ………………………….Intermediate Tap, Ballet, & Jazz class

JKS Studios would like to welcome our newest employee to the JKS staff, Nichole Rabell.

Nichole is a certified dance instructor that will begin the 2o10-11 semesters teaching:

Ballet, Tap, Jazz, Pre-Pointe, Pointe, and a stretch class.

Nichole is the former owner of Step By Step Dance Studio in Avon Park Florida. She has been dancing for 22 years and has taught for 10 years. Her studio was named as the “Best Dance Studio” in the county 5 years in a row. She was named All American Dancer 12 years in a row at Marching Auxillaries Association. In the past, her  Competition teams have recieved High Score and Overall Superior awards. Nichole’s choreography has also won “Best Choreography” in several state competitions. As a member of DMA, (Dance Masters of America), she has attended monthly and Annual conventions and workshops to remain certified and keep up with the newest training. Nichole has recently moved to Columbus Air Force base with her Husband.

WELCOME!!

Semester 1 will run Aug – Dec & Semester 2 will run Jan – May.  

We are excited to begin another year and look forward to what we can offer  your child and our community.

Copy, Paste, and mail registration form along with $25.oo registration fee to PO Box 476, Caledonia, MS 39740

Student’s Name: __________________Sex: __ Age: __ Birth Date: ___/___/___

Mother/Guardian’s Name: ___________________ Father/Guardian’s________________________

Work Phone: __________ Cell: __________ Cell: ______

Address: ____________________ _________________ _______ ________     

                  Street                                               City                                        State          Zip

Home Phone: ____________________      Home E-mail___________________

Emergency Contact: _____________________           Phone: ________________

Are there any medical conditions to which we should be alerted? ____________________________________________________________________________________

Please list any medications your child is taking on a regular basis: ____________________________________________________________________________________

Acknowledgement of Risk and Waiver of Liability

Name of child(ren) participant(s) (if under 18): __________________________________________________________

I (we), _________________________________________________________, hereby give consent to the above mentioned  child(ren) to participate in the JKS Studios. I recognize that potentially severe injuries, including permanent paralysis or death can occur in any activity involving height or motion, including gymnastics and related activities including tumbling, trampoline, and cheerleading.

I understand that it is JKS Studios intention to provide for the safety and protection of my child, and in consideration for allowing my child to use these facilities, I hereby release JSK Studios, its officers, employees, teachers, and coaches from all liability from any and all damages and/or injuries suffered by my child while under the instruction, supervision, or control of JKS Studios.

As legal guardian of the above mentioned child(ren), I hereby agree to individually provide for the possible future medical expenses which may be incurred by my child as a result of any injury sustained while training at or performing for JKS Studios.

This acknowledgment of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.

________________________________________                      ___________________

Parent or Legal Guardian’s Signature                                                        Date

I hereby grant JKS Studios and its owners the right to use any photo and or other digital reproductions of my child or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital, or electronic publishing via the internet.

______________________________                      ________________________

Parent or Legal Guardian’s Signature                                Date

Permission to Treat (optional)

I hereby give my permission to trained medical professionals to administer emergency medical treatment to my child, should sickness or accident occur in my absence.

______________________________                        _______________________

Parent or Legal Guardian’s Signature                                  Date

Insurance Information:            (Please, mark if you Do Not have insurance    O  )

Provider:________________________           Group or ID Number__________________ 

Name of insured: __________________            Contact Number _____________________

————————————————————————————————–

Where did you hear about us?_________________________________________________________________________

Preferable communication: (circle)              Email                    Text                       Home Phone                       Cell Phone

Class Day Preference (Please circle 1^st Choice):   M   T  W  Th  F      

Time Preference _________    

 Program(s) interested in: __________________________________________

Come and enjoy the Zumba experience.

Zumba is a fun Latin aerobatic exercise that all can enjoy.

Mondays………………. 5:30-6:30pm

Tuesdays………………. 5:30-6:30pm

Thursdays………………. 5:30-6:30pm

All classes are conducted by trained Zumba instructor Leah Brock.

Open to  ages 14 and older.

$4 for JKS parents/students and $5 for non JKS parents/students.

Monthly discounts available. For more details call 356-4JKS.

 Owners: Jacob & Kathy Southard

As proud new owners of JKS Studios, Jacob and I would like to express our gratitude for the warm welcoming we have already received. We have high aspirations not only for the students currently involved, but also for those from the past and future.

Our goal for JKS Studios is to provide a fun, safe learning environment that not only instructs dance, theatre, and tumbling; but models and teaches respect, responsibility, confidence, and compassion to all involved.