Juliart Dance Enrollment Form
To enroll, please fill out and return to the studio with a $10.00 non-refundable registration fee per student ($15.00 per family), as well as your first month’s tuition. Classes begin on Monday, September 14th.
Student 1 First Name *
Student 1 Birth Date *
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Student 2 First Name
Student 2 Birth Date
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DD
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YYYY
Student 3 First Name
Student 3 Birth Date
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Family Last Name *
Parent’s Names *
Street Address *
City *
State *
Zip code *
Phone Number *
Alternate Phone number
**Throughout the year, several emails are sent regarding important studio happenings. Please be sure to include current email address on your registration form.**
Email #1 *
Email #2
Email #3
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