Registration
4 classes each day in a mix of styles: Jazz, ballet, tap, hip hop, contemporary and stretch. Please have student bring their lunch and water. EARLY BIRD REGISTRATION: $250. /Week by April 5th, $350.00 after April 5th. Monday thru Friday 9:45AM- 2:45 PM.
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:
Does dancer have dance experience?
If yes, how many years and in what style?
 
Additional Information:
 
Liability Release
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I've read the above and agree.
 
Photo Release
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I've read the above and agree.
 
Communicable Disease
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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:*