2024-2025 Pre-Registration Form

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Hi Welcome to MotionScoop Dance Academy!

Please fill out the information below to begin your dancer's registration for our program. If you have any questions or need help filling out this form, please contact us:

Phone: (718) 416-6598

Email: motionscoopinfo@gmail.com

Instagram/Facebook: motionscoop

We are excited to meet you and your dancer!

Student Name *

Student Date of Birth *

YYYY

Age *

Gender *

Parent/Guardian Name *

Parent/Guardian Relationship *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Full Address *

Interest: *

Creative Movements (Ages 3-5)

Ballet Training (Ages 6+)

Latin Jazz Fusion (Ages 6+)

Hip Hop (Ages 5+)

Jazz (Ages 6+)

Contemporary/Lyrical (Ages 8+)

Acro for Dancers (Ages 6+)

Conditioning for Dancers: Flexibility, Strength & Coordination (Ages 6+)

Other:

Required

How did you hear about us? *

Do you have any questions?

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