Registration Form

Register Today!

Enter the information below, or download the Registration Form to print and fill out later.

Step 1 of 3

33%

Registration Date*

$25 Registration Fee Per Family on or before Aug 17th, or $35 Registration Fee Per Family after Aug 17th
Name*
Student's Name
Classes Enrolled In*
please email or call the studio for available classes for your dancer
Age*
Birthdate*
Dance Experience*
Address*
Street Address Address Line 2 City State Zip Code
Phone*
Alt Phone/Cell Phone(s)

Parent(s)/Guardians*
First Last
Parent(s)/Guardians*
First Last
Parent(s)/Guardians
First Last
Parent(s)/Guardian(s) Email*
Enter Email Confirm Email
Parent(s)/Guardian(s) Email
Enter Email Confirm Email

Alt Contact and Number*
Realtionship to Student*
Any allergies or health conditions affecting his or her ability to participate in strenuous exercise or any additional info you would like us to know concerning your child?*