Rhythm and Sole - Online Dance Class Registration Form 2025-26

Rhythm and Sole - Online Dance Class Registration Form 2025-26
Styles of Dance
Please selece the style of dance(s) you are in:

JazzTapHip HopContemporaryCompetitiveNurseryPredance
Student Information
Name

First NameLast Name
Age*
Date of Birth
Gender

MaleFemale
Phone Number - if applicable

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please write down any previous dance experience:
Parent/Guardian Information

For minors (below 18 years of age)
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Relationship
Do you want to add enroll more students?

YesNo
Additional students
Payment & Confirmation
Payment Method

CashCheckE-Transfer
Payment Options (Please choose how you would like to pay)

MonthlyTwo PaymentsFive PaymentsFull Year
Signature of Parent
Date Signed

MonthDayYear
Date
Should be Empty:

Styles of Dance