ASD Registration Form 2020-21
Registration Form for Adell's School of Dance 2020-21 Season
Full Name of Student
Age and DOB of Student
Name of Parent/Guardian
Years of Experience
Contact info- Phone Number & Email
Classes you would like to register for
Lyrical (must have ballet exp.)
3-6 Intensive 1st Year
3-6 Intensive 2nd Year
3-6 Intensive 3rd Year
Modern (must have ballet exp.)
Musical Theater (must have jazz exp.)
Technique (This is for competitive dancers only)
Adult Jazz Funk
Which program for your dancer
Competitive/Team- Tap, Jazz, 1-Ballet & Tech required. Includes applying for specialties & opening
Virtual Learning Only Recreational
Virtual Learning Only Competitive
Days that YOU ARE AVAILABLE?
Any additional scheduling notes
Were you referred by anyone?
Regarding mask wearing and your dancer
Dancer must wear a mask
Dancer will not wear a mask
Dancer's choice regarding wearing mask
Does your dancer have an special requirements or health conditions? If yes, please explain below
How will you be submitting your registration fee? This must be received in order for the dancers spot in class to be reserved.
Mailing a check to the studio
Using a studio credit
Send me a copy of my responses.
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