Enrollment Application ---------------------------- Please Indicate Classes Desired: FUNdamentals of Dance I (4 yrs old)FUNdamentals of Dance II (5-6 year olds)JazzBalletModern Student's name: Birthdate: Age: School: Grade: Parents' Name: Physical Address: Mailing Address: City: Zip: Home Phone Number: Work Phone Number: Cell Phone Number: email: Billing Name: ---------------------------- FOR NEW STUDENTS ONLY Previous dance training (years/classes): Previous teacher's name: Previous dance studios & location(s): How Did You Learn About the Studio?: Permission to use studio photos of my child YesNo Other family members enrolled? YesNo Other enrolled family member names: ---------------------------- I/We have read and understand the studio policies on the website and hereby agree to fully abide by all elements contained therein. Type your name: Δ