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 Ballet — Monday 4:00-5:00 pm / Emily

K-1 Jazz — Monday 5:00-5:30 pm / Emelia

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

K-1 Hip Hop — Tuesday 5:00-5:30 pm / Zander

K-1 Ballet — Wednesday 4:00-5:00 pm / Ella

K-1 Hip Hop — Wednesday 4:30-5:00 pm / Olivia

K-1 Jazz — Wednesday 5:00-5:30 pm / Olivia

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

K-1 Tap — Wednesday 6:00-6:30 pm / Ella

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

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

K-1 Tap — Thursday 4:30-4:45 pm / Ella

K-1 Ballet — Thursday 4:45-5:45 pm / Ella

K-1 Ballet w/Tap — Friday 4:00-5:15 pm / Ella

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

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

Adaptive Dance — Wednesday 6:30-7:15 pm / Sami