Enrollment Application

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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:
     

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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:
     

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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:
     

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