Class Registration Form

Phoenix Center for The Arts
1202 N 3rd st PHX, AZ 85004

3rd floor

Name

First NameLast Name

Age*

Phone Number

Area CodePhone Number

Email

example@example.com

Parent/Guardian Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Relationship

How did you learn about this class?

Option to enroll more students here: ($5/ per additional sibling *same household).

YesNo

Additional students

Date Signed

Date

Parent/guardian Name

First NameLast Name

Parent/guardian Signature

Liability Waiver

(*Manditory Feild)

My Products

Private Lesson $35.00

$35 per 1 hour private lesson with Teaching Artist (TA)

Quantity

HipHop Choreography Thursdays 8-9:00 PM$10.00

Learn HipHop Dance Routines with some of the Best instructors in The Valley and have some "FUN".

Quantity

Monthly Thursdays Choreography HipHop Class 8-9pm$35.00

Monthly Fee For Choreography Classes Th 8-9 PM Learn HipHop Dance Routines with some of the Best instructors in The Valley and have some "FUN".

Quantity

Membership (Tu & Th)$35.00

After school Students can take classes (Dance/DJ/Emcee/ Graffiti) offered on Tuesday & Thursdays Between 5-7pm

Quantity

Anti Bully class $ Free

Student will learn conflict resolution, self confidence and self defense.

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Information

Parent/Guardian Information

Miscellaneous

Payment & Confirmation

Payment Methods