Ms. Karen's Dance Studio Online Registration


*Registration fee and first month tuition due upon registration.

Parent / Guardian Name *
Parent / Guardian Name
Address *
Contact Phone Number *
Contact Phone Number
*Please specify cell, home, etc.
Dancer's Date of Birth *
Dancer's Date of Birth
Please include emergency contact name, phone number and relationship to dancer.
Class Selection *
Please choose the classes you wish to register your dancer in.