Parent's name *

First Name

Last Name

Phone *

(###)

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Student's name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's Birthdate

MM

DD

YYYY

Classes * *

2-3 Jazz — Monday 3:45-4:30 pm / Jess

2-3 Ballet — Monday 4:30-5:30 pm / Emelia

2-3 Modern/Contemporary (one dance in recital) — Monday 5:30-6:15 pm / Ella

2-3 Tap — Monday 6:15-6:45 pm / Brooklynn

2-3 Hip Hop — Monday 6:45-7:15 pm / Brooklyn

2-3 Ballet/Cecchetti 1 — Monday 6:45-7:45 pm / Ella

2-3 Hip Hop — Tuesday 3:45-4:15 pm / Jess

2-3 Ballet — Tuesday 4:15-5:15 pm / Amy

2-3 Ballet w/Tap (two dances in recital) — Wednesday 4:00-5:15 pm / Amy

2-3 Modern/Contemporary (one dance in recital) — Wednesday 5:15-6:00 pm / Ella

2-3 Hip Hop — Wednesday 6:00-6:30 pm / Darian

2-3 Jazz — Wednesday 6:30-7:00 pm / Micah

2-3 Tap — Wednesday 7:00-7:30 pm / Ella

2-3 Ballet — Thursday 6:00-7:00 pm / Amy

2-3 Tap — Thursday 7:00-7:30 / Ella

2-3 Jazz — Thursday 7:30-8:00 pm / Ella

Musical Theater (9 yrs & older)— Monday 8:00-8:45 pm / Brooklynn