Student Registration Form
Spring 2026 Session: January 26, 2026 - June 7, 2026
Please note that in-studio class spots are limited for ages 11 and under. Once you have filled out this form below you will receive an email from the office, before the semester begins, going over policy details and to make your payment.
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Email *
Please Select one of the Billing Options
There is a $40 annual registration fee for each student that is due AT Registration.
*
Required
Student's First and Last Name *
Prefers to be called
Birth Date *
MM
/
DD
/
YYYY
Academic Grade Sept. 2025 *
School
Street Address, City/Town, Zip Code *
Home Phone
Cell Phone *
Please describe your childs previous training, including styles of dance and number of years, if any.
If new to our school, how did you hear about us?
Injuries, Allergies, or Medical Conditions we should know about? *
Physician's name and contact informaion
Parent #1 Name *
Parent #1 Place of Work
Parent #1 Work/Cell Number
Parent #2 Name
Parent #2 Place of Work
Parent #2 Work/Cell Number
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