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Dance, Theater & Karate Classes Form
Please NOTE: This form lets us know which class/es you would like to register for, but you can pay through Gym Insight to guarantee a spot. Please see our website for more info! www.thecardioclub.com
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*If you have more than one dancer in the family, please fill this form out for EACH FAMILY MEMBER. Thank you!!
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Student Name
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Your answer
Birthdate, Age, Grade
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Your answer
Class(es)to register for:
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Creative Movement (Pre K-K) Monday 3:15-4:00PM w/Christina Boice
Hip Hop I (Pre K-K) Saturday 10:00-10:45AM w/Judy Wright
Hip Hop II (1st-2nd) Wednesday 3:15-4:00PM w/Caitlin Moody
Hip Hop III-IV (3rd-6th) Tuesday 3:15-4:15PM w/Raegan Reed
Hip Hop V (7th & up) Wednesday 5:20-6:20PM w/Jill Lehmann
Modern I (1st-2nd) Tuesday 3:15-4:00PM w/Abi Tessier
Modern II (3rd-6th) Tuesday 4:15-5:15PM w/Abi Tessier
Modern III & IV (7th & Up) Thursday 6:00-7:00PM w/Raegan Reed & Glenna Yu
Ballet I (Prek-K) Thursday 3:15-4:00PM w/Emma Smith
Ballet II (1st-2nd) Monday 3:15-4:00PM w/Lisa Mays
Ballet III (3rd-6th) Thursday 3:15-4:15PM w/Glenna Yu
Ballet IV (6th - Adult) Thursday 4:30-5:45PM w/Glenna Yu
*New- Ballet Technique (5th-Adult) Saturday 10:00-11:15AM w/Glenna Yu
Adult Hip Hop (Teens by Invitation Only) Tuesday 5:20-6:20PM w/Raegan Reed
Broadway Jazz (4th & Up) Wednesday 4:15-5:15PM w/Jill Lehmann
*New- CARDIO Kids (Age 8 & Up) Friday 3:15-4:00PM w/Christina Boice
Kids Aerial Free Play (Age 5 & Up) Wednesday 3:15-4:00PM w/Christina Boice
Kids Aerial Free Play (Age 5 & Up) Friday 3:15-4:00PM w/Madison Albano
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Do you have another family member/s in the dance program? If so, please list their name/s
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Your answer
Facebook Name (Communications will be through Facebook)
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Your answer
Cell Phone
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Email
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Emergency Contact
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How did you hear about us?
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Parent/Guardian (If under age 18)
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