Empire Dance Class Registration
Fill out the form carefully for registration
Student Name
First Name
Middle Name
Last Name
Parent Name
First Name
Last Name
Dancer's Age
Parent E-mail
example@example.com
Parent Phone number
Please enter a valid phone number.
List of Classes -- More being added soon!
Please Select
Tiny Tots
Princess Ballet
Hip Hop
Open Tumbling
Payment is only Cash and Check at this time.
Future Classes. Please choose any of the classes you are interested in, so we can get you information when it's available. These classes will all begin in July.
Tiny Tots ages 3-4
Princess Ballet ages 3-5 6 week class
Hip Hop ages 5+ 6 week class
Open Tumbling (all levels)
Submit
Should be Empty: