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
*
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Year
Gender
*
Male
Female
N/A
I have another dancer to register
*
YES
NO
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
*
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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
1
2
3
4
Item subtotal:
$
0.00
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Expiration Year
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