Charisma Dance or Preschool Registration
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Email *
What type of classes and what level are you interested in? 
( Please copy and paste the classes you want from our posted schedule) 
 *
Required
Student's First Name *
Student's Last Name *
Birthdate *
MM
/
DD
/
YYYY
Age *
Cell Phone #
Responsible Party *
Home Phone
Cell Phone *
Street Address *
City *
Zip Code *
Father
Father's Phone Number
Mother
Mother's Phone Number
Email Address *
Optional: Secondary email that would like to receive studio information
Emergency Contact Name and Phone Number *
Classes Enrolling In, Day and Time, Monthly Tuition *
Company example: Senior Company ; Recreational example: Class Name, Day, Time (Jazz Tuesday 4:30)
Total Monthly Tuition *
Date of Enrollment *
MM
/
DD
/
YYYY
Step 2: Please pay your registration fee:
$35 Dance Registration fee per dancer or  $60 for 2 dancers.  
Add on $15 for additional dancers more than two.
$125 Preschool Registration Fee 
Return to the "REGISTER NOW" page at charismadancestudio.com/register-now For payment options.
Dance Reg Fee includes a free Charisma T-shirt or dance bag.  
Preschool Reg fee covers preschool supplies for the year.
A copy of your responses will be emailed to the address you provided.
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