Studio G 2022-23 Registration Form

Student's Name *

First Name Last Name

Age

Date of Birth

Educational School

Grade *

Parent's Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

Welcome to Season 19! What's the student status?

New Student Returning Student

What AMAZING PERSON referred you to our program? (*New Students Only)

What class(es) are you interested in?

Dance: Ballet Dance: Tap Dance: Jazz (Ages 4 & Up) Dance: Hip Hop (Ages 4 & Up) Dance: Lyrical/Contemporary (Ages 7 & up) Dance: Pointe (Ages 10 years & up, with intermediate/advance ballet experience) Gymnastics: Tumbling/Strength/Agility Private Lessons: Dance/Gymnastics

Any past injuries/illnesses/surgeries we need to be aware of?

Please provide details:

*

Registration $ 150.00

***New Student Registration includes Studio G Gear, class leotard, and class tights. ****Returning Student Registration includes Studio G Gear

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Total $ 0.00

Payment Methods

Credit Card

Apple Pay