Nielsen School of Dance 2023/2024 Registration Form

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This is the official 2023- 2024 Dance registration form. If you have multiple children you can sign them up on one form. We will email you to confirm your registration within one week. If you have any questions please call or text 208-595-8188 or email nielsenschoolofdance@gmail.com. We are accepting students until February 1st.
Thank you!

Child’s Full Name *

Full Birthdate *

YYYY

Current Age *

Dancer 1: Child's Grade for the 2023-2024 year *

Dancer 1: Child's T Shirt Size and shoe size *

Dancer 2: Child's Full Name

Dancer 2: Child's Birthday

YYYY

Dancer 2: Child's Current Age

Dancer 2: Child's Grade for the 2023-2024 year

Dancer 2: Child's T Shirt Size and shoe size

Dancer 3: Child's Full Name

Dancer 3: Child's Birthday

YYYY

Dancer 3: Child's Current Age

Dancer 3: Child's Grade for the 2023-2024 year

Dancer 3: Child's T Shirt Size

Mother's Full Name *

Mothers Employment *

Mothers Phone Number *

Mother's Email address *

Father's Full Name *

Fathers Employment *

Fathers Phone Number *

Father's Email Address *

Mailing Address *

Emergency Contact and Phone Number *

Which class are you interested in for the 2023-2024 year? *

Monday 3:00-3:40: 3 year old combo (pre-ballet/tap combo)

Tuesdays 9:45-10:25: 3 year old combo (pre-ballet/tap combo)

Tuesdays 3:55-4:50: 4-5 year old combo (pre-ballet/tap combo)

Wednesdays 9:45-10:40- 4-5 year old combo (pre-ballet/tap combo)

Wednesday 4:15-5:10: 4-5 year old (pre-ballet and tap combo)

Tuesday 4:15-5:10: Kinder- (5-6) (ballet/jazz and tap combo)

Wednesdays 3:50-4:45: Kinder-1st (ballet/jazz and tap combo)

Tuesdays 5:15-6:10: 1st-2nd (7-8) (ballet/jazz and tap combo)

Tuesdays 4:50-5:45: 3rd-5th (8-10) (lyrical/jazz and tap combo)

Tuesdays 6:15-7:10: 6th-9th (11-14) (lyrical/jazz and tap combo)

Wednesdays 5:15-6:10: 2nd-4th grade (7-9) (lyrical/jazz and tap combo)

Required

Please list any special conditions, medications, allergies we should know about *

Where did you hear about Nielsens? *

List any dance experience your child has had *

Are you interested in trying out for our competition dance teams? (Must be 6 years or older) *

Yes

Any other questions or comments? *

Submit

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