Lift Dance Studio 26/27 Season Registration
Nonrefundable $20 registration fee required.
Student Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
N/A
Students Birth Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardians Name
*
First Name
Last Name
Previous Dance Experience
*
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Emergency Contact Name and Number
*
Desired Classes
*
Mini Movers Ballet
Mini Movers Hip Hop
Petite Performers Ballet
Petite Performers Hip Hop
Petite Performers Pom
(CLASS FULL) Rising Stars Ballet
Rising Stars Hip Hop
Rising Stars Jazz
Rising Stars Lyrical
Rising Star Pom
Rising Star Jazz Funk
Dynamic Dancers Jazz
(CLASS FULL) Dynamic Dancers Hip Hop
Dynamic Dancers Ballet
Dynamic Dancers Contemporary
Elite Dancer Ballet
Elite Dancer Jazz
Elite Dancer Contemporary
Elite Hip Hop
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Registration Fee
$20.00
$
20.00
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Payment Methods
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