IMIME Studio Student Registration

Name

First NameLast Name

Parent Name

First NameLast Name

Email

example@example.com

Will your child be attending classes this semester at IMIME studio

YesNo my child is unable to attend this semester

Please click the box below if you would like to be considered for a sponsorship spot for studio class

Yes

Please share in just a few words why you would like to be considered for free sponsorship classes at our studio ?

New Students Only Complete the below information

New Student Full Name*

First NameLast Name

Parent Name *

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Additional Siblings First, Last Name & Birthdates

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Have your child been involved in mime and dance before?

How did you hear about us?

Other

IMIME Studio Monthly Rates

$40 per student and $20 per additional siblling

All payments are due by the 15th of each month

Payments can be made via cash app $IMIMEINC or www.imime.org

IMIME Studio Student Sponosorships. We don't want any students to miss out due to financial hardships. If you would like to be considered for a student sponsorship spot provided by one of our imime partners. Please complete the information below.

note: We will review the request and confirm the sponsorship with you. All information provided is confidential.

Please click this box if you would like to be considered for a sponsored spot.

I would like my child to be considered for a sponsored spot

Please share in just a few would why you would like to be considered for sponsorship.

Returning Students