Upper School Enrollment Form Levels 3-6 and Teen and Adult
Please enter enrollment information and answer the following questions. Thank you!
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Email *
Student Name (Please Complete & Submit Separately for EACH dance student in your family) *
Student Birthday *
MM
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DD
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YYYY
Student Address *
Check Box
 *
Required
Email for communication Please give us an email you check frequently. We use email for communication. Thank you! *
Mother or Primary Contact for Student - Name, Relationship to Student, and Best Phone Number *
Father or Secondary Contact for Student - Name, Relationship to Student, and Best Phone Number *
If we need to contact you for a quick question, what is the best way to reach you?  We will use our enrollment database to send email and text messages about any class cancellations or immediate changes. Please be sure we have the best phone number to use listed under Primary Contact above and an email that you check often. Click all that apply.
 *
Required
Name of Academic School Attending or Homeschool *
Grade as of September 2023. or adult *
Medical Alert or Special Needs
Select Tuition Payment Option below. Registration Fee and 1st month's tuition will be charged at registration. *
Do you have professional or personal skills that you are willing to share with the studio? We will only contact you if we have a need and are looking for volunteers or assistance.  Examples; sewing, artistic skills, event organization, maintenance, finance, business, etc.
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