Registration

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
(Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Total years of dance experience*
Do you have any activities that would conflict with classes or rehearsals? If so, please list.*
Please list which styles of dance you are interested in. (Ballet, Jazz, Tap, Clogging, Lyrical/Contemporary, Musical Theatre, Hip-Hop)*
Would you like to be considered for a solo? If yes, please list style of dance and requested choreographer.*
Would you like to be considered for a duet/trio? If yes, please list style of dance and requested choreographer.*
Dancers are generally automatically placed in 1 Company dance and Production. Are you interested in additional group routines that may be available?*
Please list the MAXIMUM number of dances that your dancer can commit to. This total should keep all schedules and financial obligations in mind.*
 
Additional Information:
 
Participation Consent
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I've read the above and agree.
 
Contract Information
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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:*