2018-2019 Fall Enrollment
STUDENT'S FIRST NAME *
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STUDENT'S LAST NAME *
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STUDENT'S PREFERRED NAME
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STUDENT'S DATE OF BIRTH *
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/
DD
/
YYYY
STUDENT'S SCHOOL *
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STUDENT'S AGE AS OF SEPTEMBER 1, 2018 *
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PARENT/GUARDIAN'S NAME(S) *
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CONTACT NUMBER *
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PARENT/GUARDIAN'S NAME(S)
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CONTACT NUMBER
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EMAIL ADDRESS *
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MAILING ADDRESS *
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CITY *
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STATE *
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ZIP CODE *
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PRIMARY CONTACT (OTHER THAN PARENT), in case of emergency *
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EMERGENCY CONTACT PHONE NUMBER *
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SECONDARY CONTACT (OTHER THAN PARENT), in case of emergency
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SECONDARY EMERGENCY CONTACT PHONE NUMBER
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FOOD ALLERGIES/MEDICAL INFORMATION *
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DESIRED DAY/EVENING CLASSES *
Required
Level Break Down
*Levels are based on technique. The ages above are for initial placement. Placement for your child will be evaluated by the teachers and may vary based on technique. For more information on levels see our level requirements.
Level Break Down *
Required
How Would You Like to Receive Your Invoices *
The Studio School of Dance Payment Options
SINGING UP FOR AUTO PAY ALLOWS THE STUDIO SCHOOL OF DANCE TO CHARGE ALL MONTHLY FEES, ENROLLMENT FEES, COSTUMES, DANCEWEAR, AND ANY OTHER MISCELLANEOUS FEES TO YOUR CARD ONFILE.
The Studio School of Dance Payment Options *
The Studio School of Dance Policies
We require all families to come in to sign The Studio School of Dance policies before final enrollment into a class(es). Please stop by The Studio during office hours to finalize your enrollment or at our Enrollment Day.
The Studio School of Dance Policies *
ADDITIONAL COMMENTS
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