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.
Format: (000) 000-0000.
List of Classes -- More being added soon!
Please Select
Tiny Tots 3-4
Beginner Tumble
Rising Stars 5-7
Beginner Tap
Competition Cheer Try-Outs
Payment is only Cash, Check or Zelle 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 June.
Tiny Tots ages 3-4
Open Tumbling (all levels)
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