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 / Ella

2-3 Tap — Monday 5:30-6:00 pm / Emily

2-3 Ballet — Monday 6:00-7:00 pm / Emily

2-3 Modern — Monday 7:00-7:30 pm / Ella

2-3 Hip Hop — Tuesday 4:00-4:30 pm / Jess

2-3 Ballet — Tuesday 4:30-5:30 pm / Amy

2-3 Jazz — Tuesday 5:30-6:00 pm / Zander

2-3 Contemporary — Wednesday 5:00-5:30 pm / Micah

2-3 Ballet — Wednesday 5:30-6:30 pm / Micah

2-3 Tap — Wednesday 6:30-7:00 pm / Ella

2-3 Hip Hop — Wednesday 7:00-7:30 pm / Olivia

Jr. Liturgical (7-11 yrs) — Thursday 5:15-6:00 pm / Amy

Musical Theater (7-10 yrs)— Thursday 6:30-7:15 pm / Ella

2-3 Modern — Friday 4:15-5:00 pm / Kendra

2-3 Ballet — Friday 5:00-6:00 / Amy

2-3 Contemporary — Friday 6:00-6:30 pm / Ella

Adaptive Dance (10 & younger) — Wednesday 6:30-7:15 pm / Sami