Register - Soaring Dance Theatre

Student's Information

Student's Name

First Last

Is Student Under 18 years of age?

Yes
No

Students Age As of Today

Address

Street Address City State ZIP Code

Student's Email, if over 18

Student's Phone, if over 18

Parent's Information

Parent's Name (if student is under 18)

First Last

Parent's Email*

Parent's Cell Phone

Parent's Other Phone

Our Classes

Each class is ongoing for the academic year and is payable in 2-semester payments.

Select Class/ Classes

NOTE:
Dance Track I includes Dance Expression Class + Ballet Technique and Pointe
Dance Track II includes Dance Expression Class + Ballet Technique and Pointe + Company Class

Once classes or series of lessons have started tuitions are non-refundable. There is no additional registration fee.

Health/Emergency Contacts

Any Health Issues? (asthma, diabetes, weak knees, heart problems, lower back issues, etc)

Emergency Contact #1*

First Last

Emergency Phone #1*

Emergency Phone #2*

Consent*

I have read and accept the conditions of the above information. I understand I will pay by Class Fee in person at the Studio.

Signed by: Full Name Here

Today's Date

MM

DD

YYYY

Student's Information

Parent's Information

Our Classes

Health/Emergency Contacts

Soaring Dance Theatre

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