Registration
ALL INTENSIVE CLASSES WILL BE AT OUR MAIN LOCATION. A full day of classes with Angie Sellers and Sarah Jo Fazio. You know them from DanZa competitions and workshops, Masquerade Dance competition, PArade of Stars choreographers and so much more. Classes offered in leaps and turns, jazz, tap, ballet, lyrical, musical theater, hip hop, improv, and comtemporary. Participants will be divided into two levels, ages 8-12 and 13 & up.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Fee
I understand that the fee for this class is due at the time of registration in order to hold my child's spot.
I've read the above and agree.
 
billing
I understand the adult/parent/guardian listed on this registration form will be considered the responsible party for all lesson fees, billing, and fees.
I've read the above and agree.
 
Photos
I understand Kerri's Dance Studio reserves the right to publish any photos taken within the studio or performances. These photos will never include full names. If you would like to be excluded from this section, paperwork can be filed with our office.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*