Parent's Name *

First Name

Last Name

Parent's Phone *

(###)

###

####

Parent's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's Name *

First Name

Last Name

Student's Birthday *

MM

DD

YYYY

Requested Classes *

Mommy & Me (2 & 3 Year Old)

Pre-Jazz / Acro (4-6 year old)

Pre-Ballet (4-6 year old)

Creative Movement (4-6 year old)

Boy's Acro (7 year old and up)

Girl's Acro (7-10 year old)

Jazz (7-10 year old)

Ballet (7-10 year old)

Creative Movement I (7-10 year old)

Creative Movement II (7-10 year old) PLACED BY DIRECTOR ONLY

Acro (11 year old and up)

Jazz I (11 year old and up)

Jazz II (11 year old and up) PLACED BY DIRECTOR ONLY

Leaps & Turns I (11 year old and up)

Leaps & Turns II (11 year old and up) PLACED BY DIRECTOR ONLY

Creative Movement I (11 year old and up)

Creative Movement II (11 year old and up) PLACED BY DIRECTOR ONLY

Homeschool Creative Movement II (11 year old and up) PLACED BY DIRECTOR ONLY

Homeschool Strength & Conditioning (11 year old and up)

Adult Creative Movement/Worship