Registration

Already a customer? Click here to login.

Class will be held at ROOTS Academy on December 7th from 10:45am-12:45pm for dancers ages 10 and up. There will be 90 minutes of broadway jazz technique and combinations, followed by a 30 minute industry Q&A session. Class is $25.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *

Students entered below will be added to your family's account

Add New Student #1:

(Show-Hide Details)

	Student's First Name: *	Last Name: *
	Student: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:*
	Allergies (Leave blank if NONE) :
	Medications (Leave blank if NONE):
	Previous ROOTS Dancer?:*
	Current ROOTS Music Student?:*

Additional Information:

Payment and Withdrawal Policies

(Show-Hide Details)

I've read the above and agree.

Media Release

(Show-Hide Details)

I've read the above and agree.

Release of Liability

(Show-Hide Details)

I've read the above and agree.

Enter your Full Name: