Parent's name *

First Name

Last Name

Phone *

(###)

###

####

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*

6-7th — Strength & Stretch / Wed 2:00 -2:45 pm / Amy

6-7th — Beg Pointe (approval required) / Wed 2:45 -3:45 pm / Amy

6-7th — Pre-Int/Int Jazz/Hip Hop / Wed 3:15 -4:00 pm / Zander

6-7th — Pre-Int/Int Modern/Contemporary / Wed 4:00 -4:45 pm / Zander

6-7th — Pre-Int/Int Ballet / Wed 4:45 -5:45 pm / Amy

Int/Adv Jazz / Tricks & Turns / Wed 6:15 -7:15 pm / Zander

Int/Adv Ballet / Wed 7:15 -8:15 pm / Sonnet