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:
June Monthly Attendance
June weekly or daily attendance Please list which dates the dancer will be in attendance June 16-20 June 23-27 or list specific days/dates for daily.*
July Monthly Attendance *
July weekly or daily attendance Please list which dates the dancer will be in attendance June 30th -July 3rd (Closed July 4th) July 7-11 July 14 -18 July 21-25 July 28- 8/1 or list specific da*
August Monthly Attendance*
August weekly or daily attendance Please list which dates the dancer will be in attendance August 4th-8th August 11th-15th or list specific days/dates for daily.*
I will be bringing my dancer for early drop-off (7:30-8:30) (I understand it will be $10/day per dancer)*
My dancer will picked up during late pick-up (5:30-6:30) (I understand it will be $10/day per dancer)
Dancer's T-Shirt Size*
 
Additional Information:
 
Daily Tuition
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Tuition
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General Information
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Schedule
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Early Drop off/Late Pickup
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Dress Code
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Attendance
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Behavior
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Monthly Tuition Price
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Weekly Price
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification: