Course Registration Form

Star Strong Dance Company

Registration Form 25-26 *fee is non refundable*
Choose your classes

AcroBallet/PointeJazzLyricalHip HopTapCompetitionSoloDuet/Trio
Parent Name

First NameMiddle NameLast Name
Student Name

First NameMiddle NameLast Name
Student Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Additional Comments

USDRegistration Fee

Star Strong Dance Company