Dancer's Name *

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Main Phone *

Main Contact Number

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Alternate Phone *

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Student's Phone

(###)

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Student' Birthdate *

Student's Birthdate

MM

DD

YYYY

Checkbox

Ages 3 & 4 Beginner: Mon. 4:45 to 5:30 pm, Miss Janet, Recital A

Ages 3 & 4 Beginner: Thurs. 5:15 to 6:00 pm, Miss Cheyenne, Recital B

PreSchool & Pre K: Thurs. 3:45 to 4:45 pm, Miss Abriana, Recital B

K & 1st Grade: Tues. 4:00 to 5:00 pm, Miss Janet, Recital C

K & 1st Grade: Thurs. 4:00 to 5:00 pm, Miss Bethany, Recital A

2nd & 3rd Grade: Thurs. 5:00 to 6:00 pm, Miss Bethany, Recital B

3rd & 4th Grade: Mon. 3:45 to 4:45 pm, Miss Janet, Recital C

Hip Hop 2nd & 3rd Grade: Tues. 7:30 to 8:30 pm, Miss Audri, Recital B

Hip Hop 4th & 5th Grade: Thurs. 7:00 to 8:00 pm, Miss Cora, Recital C

Teen Tap, Jazz & Lryical: Thurs. 7:00 to 8:15 pm, Miss Nikki, Recital A

YES, I Can Dance! for students with special needs. Wed. 5:30 to 6:15 pm, Miss Tori, Recital C