EDA Season 3 Registration Form
Student(s) Information
Student Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Male
Female
N/A
Student's Birthdate
*
-
Month
-
Day
Year
Date
Please list any previous dance training and/or experience. If none, please put N/A.
*
Student #2 Name
First Name
Middle Name
Last Name
Gender
Male
Female
N/A
Student's Birthdate
-
Month
-
Day
Year
Date
Please list any previous dance training and/or experience. If none, please put N/A.
Student #3 Name
First Name
Middle Name
Last Name
Gender
Male
Female
N/A
Student's Birthdate
-
Month
-
Day
Year
Date
Please list any previous dance training and/or experience. If none, please put N/A.
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Parent/Guardian Information
Parent/Guardian(s) #1 Name
*
First Name
Last Name
Parent/Guardian(s) #2 Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Additional Parent/Guardian Phone Number
-
Area Code
Phone Number
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relation to Student
*
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Did someone refer you to EDA?
*
Yes
No
Who referred you to EDA? OR How did you hear about us?
*
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EDA Season 3 Class Offerings
Below you can view our Season 3 class offerings! All classes will be held VIRTUALLY. On the next page, you will be able to select and register for the class.
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Final Step
We are so excited you are joining us!!! Please note that you must pay the mandatory $25.00 Registration Fee in order to complete your registration.
Student #1 Class Selection(s)
*
Pre-Ballet ONLY
Pre-Tap ONLY
Preschool Package
Beginner Ballet/Contemporary ONLY
Beginner Tap ONLY
Beginner Package
Intermediate/Advanced Ballet ONLY
Intermediate/Advanced Contemporary/Jazz ONLY
Intermediate/Advanced Tap ONLY
Intermediate/Advanced Package
Adult Beginner Ballet ONLY
Adult Intermediate/Advanced Ballet ONLY
Adult Beginner Tap ONLY
Adult Intermediate/Advanced Tap ONLY
Adult Beginner Contemporary/Jazz ONLY
Adult Intermediate/Advanced Contemporary/Jazz ONLY
2-Class Adult Package
Private Lesson
Discovery Class
If you selected the 2-Class Adult Package, please indicated which two classes you desire to take.
Beginner Ballet & Tap
Beginner Ballet & Contemporary/Jazz
Beginner Tap & Contemporary/Jazz
Int/Adv Ballet & Tap
Int/Adv Ballet & Contemporary/Jazz
Int/Adv Tap & Contemporary/Jazz
If you selected the Discovery Class, please indicate the class you desire to take.
Pre-Ballet
Pre-Tap
Beginner Ballet
Beginner Tap
Beginner Contemporary/Jazz
Intermediate/Advanced Ballet
Intermediate/Advanced Tap
Intermediate/Advanced Contemporary/Jazz
Student #2 Class Selection(s)
Pre-Ballet ONLY
Pre-Tap ONLY
Preschool Package
Beginner Ballet/Contemporary ONLY
Beginner Tap ONLY
Beginner Package
Intermediate/Advanced Ballet ONLY
Intermediate/Advanced Contemporary/Jazz ONLY
Intermediate/Advanced Tap ONLY
Intermediate/Advanced Package
Adult Beginner Ballet ONLY
Adult Intermediate/Advanced Ballet ONLY
Adult Beginner Tap ONLY
Adult Intermediate/Advanced Tap ONLY
Adult Beginner Contemporary/Jazz ONLY
Adult Intermediate/Advanced Contemporary/Jazz ONLY
2-Class Adult Package
Private Lesson
Discovery Class
If you selected the 2-Class Adult Package, please indicated which two classes you desire to take.
Beginner Ballet & Tap
Beginner Ballet & Contemporary/Jazz
Beginner Tap & Contemporary/Jazz
Int/Adv Ballet & Tap
Int/Adv Ballet & Contemporary/Jazz
Int/Adv Tap & Contemporary/Jazz
If you selected the Discovery Class, please indicate the class you desire to take.
Pre-Ballet
Pre-Tap
Beginner Ballet
Beginner Tap
Beginner Contemporary/Jazz
Intermediate/Advanced Ballet
Intermediate/Advanced Tap
Intermediate/Advanced Contemporary/Jazz
Student #3 Class Selection(s)
Pre-Ballet ONLY
Pre-Tap ONLY
Preschool Package
Beginner Ballet/Contemporary ONLY
Beginner Tap ONLY
Beginner Package
Intermediate/Advanced Ballet ONLY
Intermediate/Advanced Contemporary/Jazz ONLY
Intermediate/Advanced Tap ONLY
Intermediate/Advanced Package
Adult Beginner Ballet ONLY
Adult Intermediate/Advanced Ballet ONLY
Adult Beginner Tap ONLY
Adult Intermediate/Advanced Tap ONLY
Adult Beginner Contemporary/Jazz ONLY
Adult Intermediate/Advanced Contemporary/Jazz ONLY
2-Class Adult Package
Private Lesson
Discovery Class
If you selected the 2-Class Adult Package, please indicated which two classes you desire to take.
Beginner Ballet & Tap
Beginner Ballet & Contemporary/Jazz
Beginner Tap & Contemporary/Jazz
Int/Adv Ballet & Tap
Int/Adv Ballet & Contemporary/Jazz
Int/Adv Tap & Contemporary/Jazz
If you selected the Discovery Class, please indicate the class you desire to take.
Pre-Ballet
Pre-Tap
Beginner Ballet
Beginner Tap
Beginner Contemporary/Jazz
Intermediate/Advanced Ballet
Intermediate/Advanced Tap
Intermediate/Advanced Contemporary/Jazz
Submit
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