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 2:15 -3:15 pm / Amy

6-7th — Beg Pointe (approval required) / Wed 3:15 -4:15 pm / Amy

6-7th — Pre-Int/Int/Adv Jazz/Hip Hop / Wed 5:15 -6:00 pm / Emily

6-7th — Pre-Int/Int Ballet / Wed 6:00 -7:00 pm / Zander

6-7th — Pre-Int/Int/Adv Modern/Contemporary / Wed 7:00 -7:45 pm / Emily

6-7th — Int/Adv Hip Hop / Wed 7:00 - 7:45 pm / Zander

6-7th — Pre-Int/Int/Adv Tap / Wed 7:45 - 8:30 pm / Emily