Jeté Dance Studio, Inc.
Registration Form
Students Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade level
Address *
Contact Number *
Email *
Parent/ Guardian Name *
Parent/ Guardian Number *
Emergency Contact Name and Number *
Please List any medical conditions or allergies
Class Registering For *
Class Day *
Time of Class *
Time
:
Registration Fee and Tuition *
Required
Liability Waiver *
Required
Medical Emergency Release *
Required
Photography Waiver *
Required
Signature *
Required
Please sign and date *
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