Register for Fall Classes Please enable JavaScript in your browser to complete this form.Students Name *FirstLastParent or Guardian's name *FirstLastHome or Primary Phone Number *Secondary or Work Phone NumberDancer's Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Dancer's Age *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWhat class are you interested in taking? *Combination Class Ballet and Tap.Check the box above. Class options are based on the age of the child.What Class are you interested in taking? *Combination Class Ballet, Tap, and Pre-jazz.Check the box above. Class options are based on the age of the child.What Class are you interested in taking? *Combination Class Ballet, Tap, and Pre-jazz.Ballet Technique Check the box above. Class options are based on the age of the child.What class are you interested in taking? *Intermediate Level Ballet, Tap, and Jazz.Ballet TechniqueJazz TechniqueCheck the box above. Class options are based on the age of the child.What class are you interested in taking? *Intermediate Level Ballet, Tap, and Jazz.Hip HopIntermediate Tap Ballet TechniqueJazz TechniqueCheck the box above. Class options are based on the age of the child.What class are you interested in taking? (copy) *Intermediate Level II and Advanced Ballet/Lyrical, Jazz.Hip HopIntermediate Tap Ballet TechniqueJazz TechniqueAdvanced Tap (See instructor for placement) Pointe (See Instructor for Placement) Check the box above. Class options are based on the age of the child.Number of years taken.Are you a returning student?YesNoPrevious Instructors NameComments or QuestionsSubmit
