SUMMER REGISTRATION JIVE SOUTH
South Studio Location

Please fill out a separate registration request for each dancer you want to properly register.

If you are new to Jive South, be sure to visit http://www.jivellc.com/spr/ to check prices, see policies, and find other helpful information. The 2018 Summer Class Schedule is available at http://www.jivellc.com/spr/summer.pdf.

Registering Dancer's First Name *
Your answer
Registering Dancer's Last Name *
Your answer
Registering Dancer's Birth Date (Be Sure to Select the Correct Birth Year) *
MM
/
DD
/
YYYY
Parent or Guardian's First Name (If registering dancer is under 18 years old)
Your answer
Parent or Guardian's Last Name (If registering dancer is under 18 years old)
Your answer
E-mail of Registering Dancer OR of Parent/Guardian if Dancer is under 18 (This may be used to contact you regarding your registration) *
Your answer
Cell Number of Registering Dancer OR of Parent/Guardian if Dancer is under 18 (This may be used to text you regarding your registration) *
Your answer
First Choice (this will be the class you plan to attend most often during the summer) *
Second Choice (a class that I may likely attend in addition to my first choice) *
Third Choice (a class that I may attend in addition to my first & second choice) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms