Junior/Advanced Class Registration

Dancer's First Name

Dancer's Last Name

Dancer's Birthday

Please list any previous dance training and/or experience. If none, please put N/A.

Dancer's Favorite Color

Dancer's T-Shirt Size

Dancer's Pant Size

Parent/Guardian Information

Parent/Guardian #1 Name

Parent/Guardian #1 Birthdate (Month/Day)

Parent/Guardian #2 Name

Parent/Guardian #2 Birthdate (Month/Day)

Parent/Guardian #1 T-Shirt Size

Address

Best Time of Day to Call

Morning

Afternoon

Evening

Emergency Contact Name

Parent/Guardian #2 T-Shirt Size

Phone

Primary Communication Preference

Call

Text

Emergency Contact - Relation to Student

Emergency Contact Phone Number

Class Selection

Junior/Adv Ballet/Contemporary ONLY

Junior/Adv Tap ONLY

2 - Class Package

$10.00 Registration Fee *

How did you hear about us? Did someone refer you?