Jae Phillips Dance Studio Minneapolis Registration

Registration Status? *

New Student (First time attending)

Current Student (Needs to update registration)

First Name *

Last Name *

Phone #? *

Enter your phone # in this format 000-000-0000

Email Address? *

Billing Zip Code? *

What is your dance level? *

Beginner

Intermediate (6 months or more of dance class experience required)

How did you hear about us? *

If referred by someone please choose Other and notate who referred you.

Meetup

Groupon

Facebook

Other: