FALL 2019 REGISTRATION
REGISTER FOR CLASSES FOR THE 2019-2020 SEASON - not for trial class registration
Email address *
Student Name *
Your answer
DATE OF BIRTH *
MM
/
DD
/
YYYY
Parent/ Guardian Names *
Your answer
Address *
Your answer
Phone *
Your answer
Class Day- please check schedule on the website *
Required
Level - SCROLL TO RIGHT
PRESCHOOL (2 1/2 -3)
KINDER DANCE (4 1/2 -6)
LEVEL 1 (6-9)
LEVEL 2A OR B (7-10)
LEVEL 3 (10-15)
LEVEL 4 (12-18)
LEVEL A
LEVEL B
LEVEL C
THEATER - ALL LEVELS
JR/SR ELITE LEVEL
RUBY
SAPPHIRE
REQUEST PLACEMENT
LEVEL - 1ST CHILD
LEVEL - 2ND CHILD
LEVEL - 3RD CHILD
Style - SCROLL TO RIGHT
MOMMY & ME
PRESCHOOL - WED
PRESCHOOL DANCE & TUMBLE
KINDER DANCE
KINDER TUMBLE
BALLET
JAZZ
TAP
HIP HOP
THEATER
TUMBLE
CONTEMPORARY
MODERN
POINTE
CHILD 1
CHILD 2
CHILD 3
DOES YOUR CHILD HAVE ANY MEDICAL CONDITIONS OR ALLERGIES WE SHOULD BE AWARE OF? list all and provide doctors note if needed. *
Your answer
We give permission to post photos or videos of my child for advertisement purposes. *
Required
This form will hold a place for 15 days *
Required
A copy of your responses will be emailed to the address you provided.
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