Registration Form
Thank you for registering for our 48th year of Keeping Class in Dance!
Please review the information at the end of the form to complete registration.
Student First Name
Your answer
Student Middle Name
Your answer
Student Last Name
Your answer
Adult Contact Name
Please enter first and last name.
Your answer
Adult's Relation to Student
Your answer
Student Birthdate
Please enter Month/Day/Year
Your answer
Student's Grade in School
Your answer
Address
Mailing Address
Your answer
Address (Line 2)
Your answer
City
Your answer
State
Zip Code
Your answer
Email
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Gender
Class Options
Select All Classes for Student Named Above. Please see Class Descriptions page for more details.
Experience
Please give a description or number of years of experience in each dance form.
Your answer
Are you interested in competing any time in the future?
Are you dancing for fun/activity/pure enjoyment or do you see yourself with a future competitive role or career in dance? We will educate, train, and give pure attention to all students regardless of your response.
Comments
Please list any scheduling requests below. We will do our best to accommodate on a first-come, first-serve basis.
Your answer
Thank You!
To complete the registration process, you will need to send or bring your Registration Fee to the studio - $10.00 if paid before July 1st or $15.00 if paid after July 1st. You may drop it off during studio hours or mail it to Studio of Pure Dance, PO Box 148, Garrett, IN 46738. Please e-mail SoPureDance@gmail.com if you would like to confirm receipt of your registration. (scroll down)

Classes and schedules are formed based on each year's registration. Schedules will be finalized and sent to students in early August. Each class requires a minimum of 5 students to be scheduled. In the event the minimum is not met, classes may be combined or shortened in length. You will be notified of your options if this should occur.

By registering, you agree to notify us specifically in writing of any information necessary for the safe instruction of your student as well as if you would like your students photos to NOT be displayed on the studio's website or Facebook page or any other media element.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms