Parent/Guardian First Name
Parent/Guardian Last Name
Phone
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Email
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Child's Name
*
Students Date of Birth
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Class Styles Interested In, please check all that apply
*
Ballet
Jazz
Tap
Acro
Hip-Hop
Lyrical/Contemporary
Musical Theater
Pre-School / Kinderdance Level Classes (ballet/tap, creative movement etc) Choose this if your student is age 2-5
Days of the Week that work for us, please check all that apply:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (morning)
Sunday (afternoon)
Class Times that work for us, please check all that apply:
Morning (toddler only), 9:30 am-12 noon
Early Afternoon (pre-school only), 1 -3 pm
Afternoon: 4-5:30 pm
Evening: 5:30-8 pm
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