About the STUDENT
Student Name *
Student Name
Student Date of Birth
Student Date of Birth
Gender
New Student?
Does the student have injuries?
Does the student have any allergies?
Parent / Guardian Contact Information
Parent Name
Parent Name
Parent Phone Number
Parent Phone Number
Address
Address
Additional Emergency Contact Information
Emergency Mobile Phone Number
Emergency Mobile Phone Number
Physician's Phone Number
Physician's Phone Number
Tuesday Dance Classes
Tuesday 4:00 PM - 5:00 PM | 6-8 yrs | Ballet
Tuesday 5:00 PM - 6:00 PM | 6-8 yrs | Jazz
Wednesday Dance Classes
Wednesday 4:30 PM - 5:30 PM | 3-5 yrs | Beginner Tap & Ballet
Thursday Dance Classes
Thursday 4:00 PM – 5:00 PM | 4-7 yrs | Ballet & Tap
Thursday 5:00 PM - 6:00 PM | 12-17 yrs | Jazz & Contemporary
Thursday 6:00 PM – 7:00 PM | 9-11 yrs | Ballet & Tap
Thursday 7:00 PM - 8:00 PM | 12-17 yrs | Ballet
Saturday Dance Classes
Saturday 11:00 AM - 12:00 PM | 7-10 yrs | Hip Hop
Saturday 12:00 PM - 1:00 PM | 5-7 yrs | Hip Hop
I have read and agree to the terms of our Studio Policies *
New Student?