Summer 2022 & Fall Registration 2022
Dancer's Full Name
*
First Name
Last Name
Dancer's Age
*
Dancer's Date of Birth
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/ Guardian's Full Name
*
Medical Conditions/ Allergies (please disclose/ if no N/A:
*
Emergency Contact Name and Phone Number
*
Phone Number
*
E-mail
*
example@example.com
My Products
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( X )
(Beginning Fall) New Student Registration Fee
$
125.00
(Beginning Fall) Returning Student Registration
$
75.00
TIGHTS
$
20.00
Size
Quantity
XSC
1
2
3
4
5
6
7
8
9
10
SC
1
2
3
4
5
6
7
8
9
10
IC
1
2
3
4
5
6
7
8
9
10
MC
1
2
3
4
5
6
7
8
9
10
LC
1
2
3
4
5
6
7
8
9
10
SA
1
2
3
4
5
6
7
8
9
10
MA
1
2
3
4
5
6
7
8
9
10
LA
1
2
3
4
5
6
7
8
9
10
XLA
1
2
3
4
5
6
7
8
9
10
XXLA
1
2
3
4
5
6
7
8
9
10
XXXLA
1
2
3
4
5
6
7
8
9
10
Leotard
Dancer will be sized
$
60.00
Biketard
Dancer will be sized
$
65.00
Ballet Shoes
Dancer will be sized
$
40.00
Tap Shoes
Dancer will be sized
$
45.00
Jazz Shoes
Dancer will be sized
$
45.00
Pointe Shoe
Dancer will be sized.
$
120.00
Ribbon & Elastic
For Pointe Shoes only.
$
16.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
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