Please enable JavaScript in your browser to complete this form.DANCER NAME *FirstLastBIRTH DATE & AGE *EMAIL *Emergency Contact Phone #Allergies or Special Medical ConditionsWhich AGE group would you like to reserve? *AGES 3 to 6 – BeginnerAGES 7 to 11AGES 12+ADULTWhich CLASS would you like to reserve? *BALLET, TAP, TUMBLEBALLETJAZZTAPHIP HOPLYRICAL/CONTEMPORARYMUSICAL THEATREPAYMENT IS DUE AT THE FIRST LESSON VIA CASH OR CHECK PAYABLE TO STUDIO 5678. (We do not accept credit card or online payments.) *1 HOUR CLASS (2 week session)= $ 36.001.5 HOURS OF CLASS (2 week session)= $54.002 HOURS OF CLASS (2 week session) = $ 72.003 HOURS OF CLASS (2 week session)= $ 108.004 HOURS OF CLASS (2 week session)= $ 144.00* 45 MINUTE CLASSES PAY AT THE HOUR CLASS RATE Questions or CommentsSubmit
