The Jay School Of Dance 2026
Enrolment form
Name
First Name
Last Name
I am
A Returning Dancer- Please continue filling out the enrolment form
A New Dancers
Enquiry- Please fill out DOB and email to receive more information
Date of birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact name
Emergency contact number
Medical conditions/ allergies
I acknowledge and consent to allow the Jay school of dance to use photos and/or videos of my child/myself in publications such as flyers/brochures, advertisements, our studio website or on social media sites such as the studios Facebook or instagram accounts. I understand that in some cases my child/my name may be used. I further understand no financial compensation will be offered for use of these photos/videos.
Please Select
I consent
I do not consent
Any other information
Signature
Continue
Continue
Should be Empty: