Dancer's Name *

First Name

Last Name

Dancer’s birthdate *

MM

DD

YYYY

Parent/ Guardian's Name *

First Name

Last Name

Cell or Home phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone

(###)

###

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Emergency Contact *

First Name

Last Name

Phone *

(###)

###

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Class(es) Registering For: *

Wed. Preschool (Wednesdays 4:00-5:00)

Kindergarten (Thursdays 4:00-5:00)

1st-4th Grade Hip Hop (Mondays 6:00-7:00)

1st-4th Grade Musical Theater (Tuesdays 6:30-7:30)

1st-4th Grade Technique (Thursdays 6:00-7:00)

5th-7th Grade Tap (Mondays 4:00-5:00)

5th-7th Grade Ballet (Mondays 5:00-6:00)

5th-7th Grade Jazz (Thursdays 6:00-7:00)

Teen Tap (Mondays 6:00-7:00)

Teen Ballet (Mondays 7:00-8:00)

Teen Jazz (Mondays 8:00-9:00)

5th-12th Grade Hip Hop (Tuesdays 7:30-8:30)

5th-12th Grade Musical Theater (Thursdays 8:00-9:00)

5th-12th Grade Acro (Tuesdays 5:30-6:30)

5th-12th Grade Technique (Thursdays 7:00-8:00)

Pointé (Previous pointé students only) (Tuesdays 6:30-7:30)