Renees Dance Studio

Please fill the registration form below.

STUDENT'S NAME

AGE

BIRTH DATE

STUDENT'S ADDRESS

PARENT'S / GUARDIAN'S FIRST NAME

PARENT'S / GUARDIAN'S LAST NAME

CITY,STATE,ZIP

HOME PHONE / CELL PHONE

E-MAIL

GRADE STUDENT IS GOING IN

SCHOOL

PHYSICAL DISABILITIES

PLEASE SELECT WHICH AREA CHILD IS ENROLLING IN.

DANCE:

TAP/BALLET/TUMBLING/COMBO (3-5 YEARS)

TAP/JAZZ (1ST GRADE AND UP)

TAP/JAZZ & LYRICAL (STARTING AT 4TH GRADE & UP)

COMPETITION

HIP HOP (MUST BE IN ADDITION TO A REGULAR CLASS)

TUMBLING:

REGULAR WEEKLY CLASSES

COMPETITIVE TEAM

REGISTRATION FEE OF $20.00 OR ($40.00 MAX PER FAMILY)

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