Dancer's Name * First Name Last Name Parent/Guardian Name First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Main Phone * Main Contact Number (###) ### #### Alternate Phone * (###) ### #### Student's Phone (###) ### #### Age * Student' Birthdate * Student's Birthdate MM DD YYYY Student's Grade * Checkbox Acro 101, Ages 5 to 8, April 8 - May 13, Tues. 4:00 to 5:00 pm, $75.00 Acro Pre Juniors, Ages 7 - 10, April 8 - May 13, Tues. 5:00 to 6:00 pm, $75.00 Acro Jr 1 & 2 & 3, Ages 7 & over, April 7, May 12 5:30 to 6:30 pm, $75.00 Checkbox Move & Groove 1, Grades K & 1st, April 8 - May 13, Tues. 6:30 to 7:30, $75.00 Move & Groove 2, Grades 2nd & 3rd, , April 8 - May 13, Tues. 7:30 to 8:30, $75.00 Checkbox Tricks & Turns with Miss Cheyenne, April 8 - May 13, Tues. 5:30 to 7:00 pm, Grades 6th - 12th, $135.00 Performance & Showmanship with Miss Cheyenne, April 8 - May 13, Tues. 7:00 to 8:00 pm, Grades 6th - 12th, $75.00 Checkbox Dance Boot Camp 1, Grades 3rd - 5th, Wed. 4:00 to 5:30, $110.00 Dance Boot Camp 2, Grades 6th - 12th, th, Wed. 5:30to 7:00 pm, $110.00 Checkbox Boogie with Bluey, Ages 3 & 4, Apirl 7 - May 12, Mon. 5:00 to 5:45, $60.00 Pink & Sparkly, Grades Pre K, K & 1st, Apirl 7 - May 12, Mon. 6:00 to 7:00 pm, $60.00 Thank you for your registration! We will send more information to soon about your class.
