Student REGISTRATION

Please fill out the information form below, and we will contact you with further information. Note that placement in Level 2 and above require an audition.

If you have any questions, please contact us.

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Student Name *
Student Name
Student's Birthdate *
Student's Birthdate
Please provide student dance history. Include lessons, instructors, studio locations and dates.
Guardian Information
Primary Guardian Name *
Primary Guardian Name
Primary Guardian Phone *
Primary Guardian Phone
Primary Guardian Address *
Primary Guardian Address
Secondary Guardian Name
Secondary Guardian Name
Secondary Guardian Phone
Secondary Guardian Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone