Elite Dance Class Registration

Class Registration Form

Thank you for registering for the 2021/2022 Dance Season. Please let us know if you have any questions! Email: info@elitedance.org
Dancer Name *

First Name Last Name
Birth Date *

Month Day Year
Gender *
I have another dancer to register *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent Name *

First Name Last Name
Parent E-mail #1 *
PLEASE use a valide email address that you check regularly! We send important communication out via email.
Parent E-mail #2
For any other parent/guardian who will also need to receive studio information on your dancer!
Mobile Number *

Area Code Phone Number
Recreational Class Choice -Choose the option closest to the age of your dancer:

Toddler/Pre-K K/1 Upper Elementary Upper Elementary Tap Tumbling Hip Hop (2nd gr & up)
Competition Team-We will hold Tryouts and send placements. Please indicate if you intend to tryout for the Comp Team Here:

Yes No
Additional Dancers
If you have additional dancers to register, please list in the box: NAME, DATE OF BIRTH, CLASS OPTION DESIRED. YOU CAN PAY FOR ALL REGISTRATION FEES TOGETHER
Were you referred to Elite Dance? If so, tell us who! We give a $10 credit on the first month tuition for anyone who refers a new student to our studio. (the new student must register and attend class) *

YES NO
NAME OF PERSON WHO MADE YOUR REFERRAL:

Registration Fee *

Registration Fee $ 20.00

This is our Registration Fee. This is a one time charge per dancer. If you indicated you had additional dancers in box above, please select the number of dancers to register here.

Quantity
Item subtotal: $ 0.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

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Class Registration Form