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

Strength & Stretch / Wed 2:00 -2:45 pm / Amy

Beg Pointe / Wed 2:45 -3:45 pm / Amy

Intermediate & Advanced — Jazz / Tricks & Turns / Wed 6:15 -7:15 pm / Zander

Intermediate & Advanced — Ballet / Wed 7:15 -8:15 pm / Sonnet

Intermediate & Advanced — Pointe / Wed 8:15 -9:15 pm / Sonnet