Center Stage Dance Studio - Registration & Enrollment Season 23

Email address *
Student First Name *
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Student Last Name *
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Student Date of Birth *
Parent 1 *
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Parent 2 (if applicable)
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Street Address *
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City *
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State *
Zip Code *
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Preferred Phone # *
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Preferred Email Address *
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Emergency Contact (Name & Number please)
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Does your child attend Charter School? *
Have you danced with CSDS before? *
How did you hear about Center Stage Dance Studio? *
Children's Program - Ages 2.5-6
Level I & Level II - Age 6-9
Level III / Level IV - Age 9-12
Level V (Includes Teen & Level IV-V) , Classes for Ages 10-13
Level VI (Includes Teen) - Classes for Age 12-14
Level VII - Classes for Age 13+ (Advanced Placement),
Adult Tap - New this Season!
Please provide any additional information that is helpful to us to best suit your child's needs: (i.e. allergies, major scheduling conflicts, IEP considerations, etc).
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A copy of your responses will be emailed to the address you provided.
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