Parent / Guardian Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Phone Number *

*Please specify cell, home, etc.

(###)

###

####

Dancer's Date of Birth *

MM

DD

YYYY

Class Selection *

Please choose the classes you wish to register your dancer in.

Mommy & Me Class

Twinkle Toes &

Broadway Babies

Kinder Dance

Show Stoppers

Performance Project

Ballet for age 7 and up

Tumble Classes

Boys Tap

Cheernastics

Tiny Tumblers

Dance Magic

Lil’ Hoppers

Let Your Light Shine

FitLab