Student's Name (required) Your Address (required) Your Town/ZIP (required) Your Email (required) Your Home/Cell# (required) Parents' Names (required) Age as of Sept 1 (required) Grade as of Sept 1 (required) Birthdate (required) Pre-Dance: (ages 3-4) Ballet, Tap, Creative Movement Dance Variety (ages 5-6) Tap, Ballet, Jazz Combo Dance Variety: (ages 7-8) Tap, Ballet, Jazz Combo Stretch and Tech: (leaps and turns) Tap (Grade 3 & up) Ballet (Grade 3 & up) Jazz (Grade 3 & up) Lyrical (age 10 & up) Pointe (age 10 & up - at teacher's discretion) Hip-Hop (age 6 & up) Additional Comments: Δ
