Fill out our form and pay your fee online OR download the Registration Form to print and mail with your payment to the studio!
Student Name* First Last Class Preference PRE-SCHOOL/K MOVEMENT BALLET JAZZ BOYS' HIP HOP MODERN DANCE TAP BROADWAY ADULT PROGRAMS AgePlease enter a number from 3 to 99.Birthdate* Date Format: MM slash DD slash YYYY Parent/Guardian 1*Parent/Guardian 2Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Cell phone*Relation to Student*Alt. CellphoneRelation to StudentAlt. Emergency Contact*In the case that the number(s) above are not reachable, please give us an alternative contact to reachRelation to Student*Parent/Guardian Email* Years of Experience* none 1-2 years 3-4 years 5+ years Allergies or Health Conditions*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?
220 W State St. O’Fallon, IL 62269
618-632-1217
edancestation@yahoo.com
Everyday 10AM-9:00PM
