STUDIO 1014 Registration Form

Please submit form once per child.

Contact Info:

First Name   Last Name              (STUDENT)

Age    Student Birth date

Academic School

Parent Name

Mailing Address

City    State    Zipcode

Daytime Telephone #    Evening Telephone #

Email Address

Other Information:

New or Returning Student: New Returning

Number of Years Dancing:     Studio(s) of previous experience:

I would like more information on Dance Elite Team Yes  Not at this time

Additional Request:

 

Class Information: 

Classes fill rapidly and your selection may no longer be available, so please have a second choice in mind. Please follow up and confirm your selections by calling 904-249-6090 or visiting the studio during business hours.  Please be aware that class selections are not guaranteed until you have verified your request with the studio, and are subject to space availability. Classes must meet minimum enrollments to begin. CLASS SCHEDULES ARE SUBJECT TO CHANGE.

 

Please make class selections below. Select more than one option in each box by pressing CTRL.

        JAZZ                   BALLET/LYRICAL           TAP/HIP HOP                 

     

            SPECIALTY                              6 & Under

    

 

A $35.00 registration fee per student will secure your class requests. Until the registration fee is received, your spot in class is not guaranteed. This fee can be mailed to the studio (1459 Atlantic Blvd, Neptune Beach, FL 32266) paid online or can be brought in person to Studio 1014 during office hours.

I have read and agree to the Terms and Conditions