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 *

K-1 Jazz — Monday 3:30-4:00 pm / Micah

K-1 Ballet — Monday 4:00-5:00 pm / Micah

K-1 Hip Hop — Monday 5:00-5:30 pm / Brooklynn

K-1 Ballet — Tuesday 3:45-4:45 pm / Emelia

K-1 Hip Hop — Tuesday 4:45-5:15 pm / Zander

K-1 Ballet w/Tap (two dances in recital) — Wednesday 4:00-5:15 pm / Ella

K-1 Jazz — Wednesday 5:15-5:45 pm / Micah

K-1 Ballet — Wednesday 5:45-6:30 pm / Micah

K-1 Hip Hop — Wednesday 6:30-7:00 pm / Darian

K-1 Jazz — Wednesday 7:00-7:30 pm / Micah

K-1 Tap — Wednesday 7:30-8:00 pm / Ella

K-1 Ballet w/Tap (two dances in recital) — Thursday 4:00-5:15 pm / Ella

Jr. Liturgical (5-10 yrs) — Friday 4:00-4:45 pm / Jalynn