EDS Student Enrollment Form 2022

Student Enrolment Form 2023
Name*

First NameLast Name
Birth Date*

DayMonthYear
Current School Attending
Medical Concerns
Previous Dance Study
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
(1) Parent/Guardian and Contact *
(2) Parent/Guardian and Contact *
Emergency Contact *
Person Responsible for Payment*
Classes to Enrol*
Please List
Date*

DayMonthYear
Date
Signature*

By signing the above, both parent and student agree to Encore Dance Studios Enrolment Terms & Conditions.
Should be Empty:

Student Enrolment Form 2023