Kirby Hall School Fall Registration

Kirby Hall Dance Class Registration

Friday Dance classes after school. Your child will learn Ballet Tap & Jazz. Classes will be from 3:30-4:30. We will pick your child up from their classroom right before school lets out and walk them to the Dance Room where we will get them dressed into their Ballet clothes and Teach their class. Parent pick up instructions will be sent via email prior to the first week of dance. PLEASE Fill out the form carefully for registration. We will contact you with whatever Email address is filled out. For any Additional Information, Please check out our website and Follow us on Facebook to stay up to date on important news!
Dancers Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender
Child's Classroom Number at School*
*We Do not know the teachers Names like we do the classroom numbers so if you have the classroom number that helps us out so much!
Does your child have allergies?
Mothers Name*

First NameLast Name
Fathers Name

First NameLast Name
Mothers E-mail*
Please be sure this is a Primary Email you check
Fathers E-mail
Mothers Number*
Fathers Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Number*
Relation to Dancer
I understand that Dance is a physical activity and I cannot hold any Super Stars Dancers employees accountable, Nor the facility staff Accountable if anything Happens during class time.*

Clear
Payment Information: $250

PLEASE ADD your childs Name, School and Days attending when you make your payment Venmo: Catherine-Wood-7 | Zelle: 832-545-0463
How will you be paying*
Dance class attire:

Black Leotard, Pink tights, Pink Ballet shoes, Black tap shoes (if applicable), Skirt of any color if desired. Jazz & Hip Hop will need Black Jazz shoes, Jazz pants and a Black T-Shirt. Super Stars Dancers T-Shirts are for sale for anyone who is interested, Please send an email inquiring if so!
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Kirby Hall Dance Class Registration

Payment Information: $250

Dance class attire: