Please complete the following form so we may better assist you in finding the right class to meet your needs. Once we receive the information, we will contact you with available class times and finalize your registration. We will not use this information for any purpose other than to assist you with placement and registration at our studio.

Registration Form

Name of Student(s):

Age:    Date of birth(mm/dd/yy):
Name of Student(s):

Age:    Date of birth(mm/dd/yy):
Name of Student(s):

Age:    Date of birth(mm/dd/yy):
Street Address:

City:    State:    Zip:
Phone:
(home)     (cell)     (work)
E-Mail:
Any Previous dance training? No Yes      Number of Years:
Ballet, Tap or Jazz?
Parent(s) Name:
Approximate class time preferred: