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 (2.5-4 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

Ballet I (11 years old and up)

Ballet II (11 years old and up) PLACED BY DIRECTOR ONLY

Creative Movement I (11 year old and up)

Creative Movement II (11-14 years old) PLACED BY DIRECTOR ONLY

Creative Movement II (Age 15+) PLACED BY DIRECTOR ONLY

Homeschool Creative Movement II (14 year old and up) PLACED BY DIRECTOR ONLY

Homeschool Strength & Conditioning (11 year old and up)