Online Class Registration

Online Student Registration Form

NOTE:  All fees are non-refundable.

Student Registration Fee: $25.00
Class Fee:  $10.00 per class (Paid in 12 week sessions = $120 min.)

Student First Name:
Student Last Name:
Student Date of Birth:
Address:
City:
State:
Zip Code: (5 digits)
Phone:
School Attending:
Grade in School:
Parent or Guardian's Name:
Parent's or Guardian's Full Address:
Parent's Home Phone:
Parent's Work Phone:
Parent's Cell Phone:
Email:
Dance Experience:

NOTE: A consent form will need to be filled out during the student's first visit. Registration fees may be paid online via credit card or bank account (checking or savings) or in person via check or cash.  If paying online via paypal, be sure to also complete the registration form above.