Registration

This is for friends of currently enrolled dance students.

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

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

Questions/Options:


Who is your Virtuosity Dance Friend?
Would you like us to reach out to you about dance options for your child?

Additional Information:

Waiver I

(Show-Hide Details)