For kids ages 3 (and potty trained) and up. Let our team keep your kids entertained with games, crafts, supervised free-time in the gym and a dance party in the dance studio. Pack a snack or snacks available for purchase and the family account with pre-authorization from a parent.
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
What is your primary contact phone number and 1 Emergency Contact and phone number*
Please list any medical conditions or allergies we need to be aware of.
Additional Information:
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I've read the above and agree.
Enter your Full Name: *   
Other Questions/Comments:
Credit Card Verification:
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: