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Home Registration Interest form

New Student Pre-Registration:

Once you complete this form we will contact you to answer any questions that you have about the school, and provide you with options to get your child enrolled. We will also set up a time to provide you with a tour of the school and get the enrollment process completed. If you have questions before signing up, please use the Contact Us form or give us a call at:

Fields marked with a * are required.

Parent Name:
First * Last *
Student Name:
First * Last *
Student Date Of Birth* :
What is your childs age?* :
Phone number * :
(###) -### -####
Email * :
Mailing address :
Programs of Interest :
Jazz Tap Ballet Hip hop Modern Lyrical Pre-Dance Boy’s Classes Recital Competition Team Camps
Pilates Performing Opportunities Birthday Parties Private Coaching

How did you hear about us ?
Website Google Search Yellow Pages Drive-By Mailer
Referral: Who referred you?
Other :

Does the student have previous dance experience?
Yes
No
If yes; Where ?
How long ?
Programs :
Comments :
 

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