Steppin' Out Registration Form
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Email address
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Your email
Student Name
*
Your answer
Address
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City, State, Zip
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Phone
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Your answer
Emergency Phone
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Parent Name
*
Your answer
Student's Birthday
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MM
/
DD
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YYYY
Age
*
Your answer
Previous Dance Schools and Years
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Your answer
Previous Consecutive Years at Steppin' Out
*
Your answer
Dance Phases Desired
*
Acro/Gym
Adult Tap
Adult Ballet/Jazz Mix
Ballet
Contemporary
Creative/Improv
Flag, Rifle & Knife twirling
Friend & Me (18 mo – 3 years old)
Hip Hop
Hip Hop Tap (must take a tap class or prev. tap experience)
Jazz
Jazz Pointe
Kindertot (1 hr. of preschool class in Ballet/Tap/Basic Tumbling)
Modern/Lyrical
Musical Theatre
Pointe (5 year min. ballet, must take ballet class)
Pilates (ideal for athletes & injury prevention)
Special Needs (for students whom are physically and/or developmentally challenged)
Stretch/Turn/Leap (ideal for athletes & injury prevention)
Tap
Twirling & Competitive Twirling
Required
Start Date
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MM
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DD
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YYYY
Recital
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