Sickle's Dance Gallery . . . Is On The Move!

Costume Deposits













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COSTUME DEPOSIT SLIP 
Student’s Name:_________________________________________________ 
Parent’s Name_________________________________________________ Address:________________________________________________________City: _________________________________ Zip Code: _________________

Phone: (______) ________________________

  Long: _______      Geer Park:_____     Southgate: ______ 
Dance SubjectLesson DayLesson Time$55 per costume
    
    
    
    
    
                       TOTAL COSTUME DEPOSIT PAID:    $____________  Costume Deposits are due 1st Lesson in February 

Checks payable to:  Sickle’s Dance Gallery

1431 Whittier Place, Dearborn, MI 48124

Phone:  (313) 278-1035 Place this slip and payment (check or cash) in an envelope and hand to your child’s teacher.
RECEIPT WILL BE MAILED TO YOU.
 Office Confirmation:          Amount Received: $____________       Check #____________  Cash _______          Dated: _______________________      Recorded by:____________________