Helmer Dance Studio Online Registration

Registration

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Please complete the form below to register your child(ren) for our Summer 2023 classes and camps and/or our 2023/2024 competition auditions. We're happy to have you join us!

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Home Address*

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Contact #1

Contact #1 First Name*

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Contact #2

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Student #1

Student's First Name*

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Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Previous Dance Experience?*

How many years?*

Which Studio?*

Classes are structured by school grade. Dancers enrolling in classes must be in the grade of the class by the start date of that class.

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Student #2 (Show-Hide Details)

Student's First Name*

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Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Previous Dance Experience?*

How many years?*

Which Studio?*

Classes are structured by school grade. Dancers enrolling in classes must be in the grade of the class by the start date of that class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Previous Dance Experience?*

How many years?*

Which Studio?*

Classes are structured by school grade. Dancers enrolling in classes must be in the grade of the class by the start date of that class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Previous Dance Experience?*

How many years?*

Which Studio?*

Classes are structured by school grade. Dancers enrolling in classes must be in the grade of the class by the start date of that class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Previous Dance Experience?*

How many years?*

Which Studio?*

Classes are structured by school grade. Dancers enrolling in classes must be in the grade of the class by the start date of that class.

Enroll in Classes

Select Class

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Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

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