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+Which CLASS would you like to reserve? *BALLET, TAP, TUMBLEBALLETPAYMENT 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)= $ 34.001 HOUR OF CLASS = $17.001.5 HOURS OF CLASS = $ 26.00Questions or CommentsSubmit
