JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nielsen School of Dance 2021/2022 Registration Form
This is the official 2022- 2022Dance registration form. If you have multiple children you can sign them up on one form. We will contact you to complete their entire registration. If you have any questions please call or text 208-595-8188 or email
nsdance@cableone.net
.
Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Dancer 1: Child's Full Name
*
Your answer
Dancer 1: Child's Birthday
*
MM
/
DD
/
YYYY
Dancer 1: Child's Current Age
*
Your answer
Dancer 1: Child's Grade for the 2021-2022 year
*
Your answer
Dancer 1: Child's T Shirt Size
*
Your answer
Dancer 2: Child's Full Name
Your answer
Dancer 2: Child's Birthday
MM
/
DD
/
YYYY
Dancer 2: Child's Current Age
Your answer
Dancer 2: Child's Grade for the 2021-2022 year
Your answer
Dancer 2: Child's T Shirt Size
Your answer
Dancer 3: Child's Full Name
Your answer
Dancer 3: Child's Birthday
MM
/
DD
/
YYYY
Dancer 3: Child's Current Age
Your answer
Dancer 3: Child's Grade for the 2021-2022 year
Your answer
Dancer 3: Child's T Shirt Size
Your answer
Mother's Full Name
*
Your answer
Mothers Employment
*
Your answer
Mothers Phone Number
*
Your answer
Father's Full Name
*
Your answer
Fathers Employment
*
Your answer
Fathers Phone Number
*
Your answer
Email Address
*
Your answer
Mailing Address
*
Your answer
Emergency Contact and Phone Number
*
Your answer
Which class are you interested in for the 2021-2022 year?
*
Monday 3:45-4:25 3 year old combo class
Tuesdays 10:00-10:55 4, 5, and 6 year old combo (Pre K-K)
Tuesday’s 3:55-4:50: 5-6 year old combo class (K-1st) Dance experience
Tuesdays 4:15-5:10 4 year old combo
Tuesdays: 4:55-5:50: 9-12 year olds (Going into 3rd-6th) Has had dance experience
Tuesdays 5:15-6:10 7-9 (Going into 2nd-3rd Grade)
Tuesdays 6:15-7:10: 8-13 (Going into 4th-7th Grade)
Wednesdays 10:00-10:55 4-5 year old combo class (Pre-K and K)
Wednesdays 3:50-4:45: 6 and 7 year old combo class (1st-2nd))
Thursdays 4:00-4:55: 4-5 year old combo
Required
Please list any special conditions, medications, allergies we should know about
*
Your answer
Where did you hear about Nielsens?
*
Your answer
List any dance experience you’ve had
*
Your answer
Are you interested in trying out for our competition dance teams? (Need to have 2 years of dance experience)
Yes
No
Clear selection
Any other questions or comments?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
