2024-2025 REGISTRATION FORM
We are thrilled to be celebrating season 18 with YOU! 
Please use the ages listed below as a guideline- We will contact you if class placement is incorrect

Please complete (1) form per child enrolling and submit the $25 registration fee PER child
WAYS TO PAY:
1. Cash
2. Check payable to: Rising Stars
3. Zelle: risingstarsdancenj@gmail.com
* if mailing in a payment please use the address below:
288 Harris Ave
Middlesex, NJ 08846


Classes will begin Monday September 9, 2024

We can't wait to dance with YOU!
Email *
Child's First and Last Name *
Phone Number *
Email Address *
Parent / Guardian Name *
Child's Birthday mm/dd/yy *
Child's age as of September 1st *
Mailing Address *
Any allergies or medical conditions we should be aware of? If yes, please list
Does you child have any dance/tumbling experience? If yes, please list
Please select the class(es) you wish to enroll in: *
Required
I understand that my child's registration fee ($25 per child) is non refundable and is due upon enrolling to secure their class spot. Registration is NOT COMPLETE until payment has been received
 *
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