Rhythm and Sole - Online Dance Class Registration Form 2025-26
Styles of Dance
Please selece the style of dance(s) you are in:
Jazz
Tap
Hip Hop
Contemporary
Competitive
Nursery
Predance
Student Information
Name
First Name
Last Name
Age
*
Date of Birth
Gender
Male
Female
Phone Number - if applicable
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / 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 Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Relationship
Do you want to add enroll more students?
Yes
No
Additional students
Payment & Confirmation
Payment Method
Cash
Check
E-Transfer
Payment Options (Please choose how you would like to pay)
Monthly
Two Payments
Five Payments
Full Year
Signature of Parent
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Print Form
Should be Empty: