Enrollment Application

----------------------------

Please Indicate Classes Desired:
FUNdamentals of Dance I (4 yrs old)FUNdamentals of Dance II (5-6 year olds)JazzBalletModernDanspiration

Student's name:
     
Birthdate:
     
Age:
     
School:
     
Grade:
     
Parents' Name:
     
Address:
     
City:
     
Zip:
     
Primary (Home or Cell) Phone Number:
     
email:
     

Contact Preference: emailtextphone

May we use your child's photograph in promotional literature and our website? YesNo

----------------------------

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?:
     

Other family members enrolled? YesNo
  Other enrolled family member names:
     

----------------------------

Account Billing Name:
     

I/We have read and understand the studio policies on the website, including the Covid-19 protocols, and hereby agree to fully abide by all elements contained therein.

Δ