Attention: Please fill out this form with the classes of interest. We will contact you to place your child in the appropriate class if you are unsure of the correct class. We must have the yearly registration fee of $35 to place a child in the system and on the student roster.

Session:   *
Child's Name:   *
Parent's Name:   *
Child's Birthdate:   / / *
Email Address:   *
Address:   *
City:   *
State:   *
Zip Code:   *
Phone Number:   *
Alt Phone Number:  
How did you hear about us?  
Class One:   *
Class Two:  
Class Three:  
List any prior dance training:  
Security Code:   *
(enter the word above into the box)