JULY SUMMER CLASS REGISTRATION

DANCER NAME *

First

Last

BIRTH DATE & AGE *

EMAIL *

Emergency Contact Phone #

Allergies or Special Medical Conditions

Which AGE group would you like to reserve? *

• AGES 3 to 6 – Beginner
• AGES 7 to 11
• AGES 12+

Which CLASS would you like to reserve? *

• BALLET, TAP, TUMBLE
• BALLET

PAYMENT 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)= $ 36.00
• 1 HOUR OF CLASS = $18.00
• 1.5 HOURS OF CLASS = $ 27.00

Questions or Comments

Submit