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