Simply Rho Performance Academy
Dancer Registration Form 2024 $20.00 per Dancer
Date
-
Month
-
Day
Year
Date
Dancer Name
First Name
Last Name
Dancer Information
Age
Grade
School Name
Principal
Parent or Guardian Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Dancer Previous Training
No Training-New Dancer
Professional Training 1-3 years
Professional Training 3-5 years
Professional Training 5-7 years
More than 8 years Professional Training
Please select one of the packages below:
3-5 Mini Dance Package $60.00 monthly 5:15-6:45
6-8 Junior Dance Package $70.00 monthly 5:45-7:15
9-11 Pre-Teen Dance Package $70.00 monthly 6:15-8:00
13-up Teen Dance Package $80.00 monthly 6:15-8:00
13-up Performance Dance Pass $100.00 monthly 6:15-8:45 *****
Pre-Selected Scholarship $ Scholarship Schedule Above
Pre-Selected Half-Scholarship $ Scholarship 1/2 Schedule Above
Please Select Registration Fee and Monthly Payment Options Below Upon completion of this form please pay your $20 registration fee
Simplyrholee3.com Shop payment checkout
Business cash app $Simplyrho
Other
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