Registration
Let's dance!!. An introduction class to Ballet, Improve your flexibility. We will learn a little routine that will present to our parents in the last class. Class Dates will be on: Wednesday October 16th Wednesday October 23rd Wednesday October 29th Wednesday November 6th Wednesday November 13th Wednesday November 20th
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: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Questions/Options:
What Grade is your Dancer in? And who is their teacher?*
Dancer's T-shit size*
 
Additional Information:
 
Release of Liability
  (Show-Hide Details)
I've read the above and agree.
 
Fees
  (Show-Hide Details)
I've read the above and agree.
 
Pick up Preceedure
  (Show-Hide Details)
I've read the above and agree.
 
Make Ups
  (Show-Hide Details)
I've read the above and agree.
 
Photo Release
  (Show-Hide Details)
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:*