STUDENT registration form
Use this form to sign up for dance classes for students of all interests from 1st through 12th grades.
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Student's First Name *
Student's Last Name *
Age *
Birthday *
MM
/
DD
/
YYYY
Street *
City *
Zipcode *
Primary Parent First Name *
Primary Parent Last Name *
 Phone Number (List the best number to reach you) *
Email Address *
Secondary Parent First Name
Secondary Parent Last Name
Emergency Contact Name *
Emergency Contact Phone Number *
If you are a new student to Steppin’ Out, please tell us how you heard about us.
If you are a returning student, how many years have you danced with us?
What class(es) were you enrolled in last year?:
Ballet
Ballet II Beginner/Intermediate  (*must be recommended by previous ballet instructor and/or go through the evaluation process for this class)
Ballet III-Intermediate  (*must be recommended by previous ballet instructor and/or go through the evaluation process for this class)
Ballet IV-Advanced  (*must be recommended by previous ballet instructor and/or go through the evaluation process for this class)
Pre-Pointe (*must be recommended by previous ballet instructor and/or go through the evaluation process for this class)
Pointe I (Requirement: Concurrent with Ballet III. *IF registering for Pointe I, you will automatically be registered for Ballet III.)
Pointe II (Requirement: Concurrent with Ballet IV. *IF registering for Pointe I, you will automatically be registered for Ballet IV.)
Contemporary
Hip Hop
Jazz
Lyrical
Tap
Tumbling
Ballet/Jazz Combo
Variations of Dance Combo
Core, Strength & Flexibility
Turns, Leaps & Tricks
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