2021-2022 Registration Form
Rising Stars Studio of Dance is proudly celebrating its 15th season this year! Please complete the form below and submit the NON REFUNDABLE $25 registration fee ( per student) to hold your child's spot. VENMO PAYMENT To: risingstarsdancenj
CASH or CHECK is also accepted

Registration is not completed until the registration fee has been paid

** IF A CLASS IS CLOSED OUT PLEASE JOIN THE WAIT-LIST
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Child's First and Last Name
Birthday
MM
/
DD
/
YYYY
Age
Email Address
Mailing Address
Phone Number
Any allergies or medical conditions we should be aware of? If yes, please list
Parent/ Guardian Name(s)
How did you hear about us?
Does your child have any experience? If yes, please list
Please select the class(es) you wish to register for:
I understand that the $25 registration fee is NON REFUNDABLE. I understand that my child's registration is NOT complete until this payment is received Payment can be made: Venmo: risingstarsdancenj or Mallory-Horowitz, CHECK payable to: Rising Stars Studio of Dance or CASH
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