Parent Name *

First Name

Last Name

Parent Phone *

(###)

###

####

Dancers Name *

First Name

Last Name

Dancers DOB *

MM

DD

YYYY

Class Selection *

Jazz

Tap

Ballet

Hip Hop

Lyrical/Contemporary

Acro

SKTLS (Technique)

Musical Theatre (Inters only)

Theatre Jazz (Heels - Seniors only)

Pom

Boys Hip Hop

Boys Acro/Breaking

Stars Combo 1 - Tues Morning (Jazz, Tap, Ballet)

Stars Combo 2 - Tues Morning (Hip Hop, Acro)

Stars Combo 1 - Thurs Morning (Jazz, Tap, Ballet)

Stars Combo 2 - Thurs Morning (Hip Hop, Acro)

Stars Combo 1 - Weds Afternoon (Jazz, Tap, Ballet)

Stars Combo 2 - Weds Afternoon (Hip Hop, Acro)

Support Class (Jazz/Hip Hop)

I agree to the Terms&Conditions outlined in the Information Pack *

Yes

I agree to my child being photographed/filmed for social media and advertising purposes *

Yes

No