Student Registration
Please fill out the following form to register your child to dance at En Pointe Dance & Acrobatics.
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Parent's Name *
Email Address *
Phone Number *
Address (Please include Street Address, City, State, and Zip) *
Would you like to be on our mailing list for info via text and email? *
Emergency Contact Name *
Emergency Contact Phone Number *
Child's Name *
Child's Birthdate *
MM
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DD
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YYYY
Child's Age *
Child's Academic School *
Child's Grade *
Child's Physician *
Child's Physicians Address & Phone *
Does your child have previous dance experience? (IF YES, how many years?) *
Please check off the classes you are enrolling in. *
Required
Classes you would like to enroll your child in: (Be specific, day and time) *
Are you interested in our Competition Company? *
Please list any medical conditions/allergies your child may have: *
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