Please complete and send this form to register online. There is a $25 registration fee. After you register online we will contact you as soon as possible. Please verify your contact information is correct before sending the registration form. Thank You!   *Name Address *Parent or guardian if student(s) are under 18 years of age. City State           Zip Tel. No. [ex. xxx-xxx-xxx] Email Address Student Number One Name Birthday [ex. xx/xx/xx] Gender     Male     Female Skill Level     Beginner     Intermediate     Advanced Classes Interested In Attending: Ballet   Pointe   Jazz   Tap   Lyrical   Acrobatics   Hip-Hop Modern   Pre-School Combo (ages 3 - 4)   Combo II ages (5 - 6) Student Number Two Name Birthday [ex. xx/xx/xx] Gender     Male     Female Skill Level     Beginner     Intermediate     Advanced Classes Interested In Attending: Ballet   Pointe   Jazz   Tap   Lyrical   Acrobatics   Hip-Hop Modern   Pre-School Combo (ages 3 - 4)   Combo II ages (5 - 6) Student Number Three Name Birthday [ex. xx/xx/xx] Gender     Male     Female Skill Level     Beginner     Intermediate     Advanced Classes Interested In Attending: Ballet   Pointe   Jazz   Tap   Lyrical   Acrobatics   Hip-Hop Modern   Pre-School Combo (ages 3 - 4)   Combo II ages (5 - 6) Additional Information