Dansville Dance Academy Summer Registration

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If you are registering more than 1 dancer, please fill out a separate form for each dancer.

Dancer's Name *

Dancer's Age *

Parent/Guardian Name *

Additional Parent/Guardian Name

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Which classes is this dancer registering for? (check all that apply) *

Contemporary (Ages 10+)

Tap/Jazz (Ages 10+)

Ballet (Ages 10+)

Pre-Pointe (Ages 10+)

Contemporary (Ages 13+)

Tap/Jazz (Ages13+)

Ballet (Ages 13+)

Pointe (Ages 13+ with approval)

Required

Miss Lauren will be in touch with information on class times and tuition amounts. How would you like to be contacted? *

Text Message

Phone Call

Submit

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