Fall Dance Registration & Summer Camps
Register for Elevate Dance Studio classes and camps. Complete the required contact, student, emergency, medical, permission, and marketing fields, then submit your registration.
Parent/Guardian Information
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Information
Program Selection
What are you registering for?
*
Fall Dance Classes
Summer Camps
Both
Fall Class Interest
Class placement is based on age, experience, and instructor recommendation.
Select Class(es) of Interest
Primary Ballet/Tap (Ages 3–5)
Level 1 Ballet/Tap
Level 1 Jazz Add-On
Level 2 Ballet/Tap
Level 2 Jazz Add-On
Level 3/4 Ballet
Level 3/4 Jazz
Hip Hop (Ages 6–9)
Hip Hop (Ages 10+)
Adult Ballet
Friday Ballet/Tap (Capitan)
Friday Jazz & Contemporary (Capitan)
Not Sure – Please Contact Me About Placement
Summer Camp Interest
Select Camp(s)
Under the Sea Camp (June 8–12)
Prince & Princess Camp (June 15–19)
Enchanted Forest Camp (June 22–26)
Own Your Era Camp (July 6–10)
Let's Go Girls Camp (July 13–17)
Ballet Academy Camp (July 20–24)
K-Pop & Hip Hop Camp (July 27–29)
Student First Name
*
Student Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Grade
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Emergency Contact
Medical Information
Allergies, Medical Conditions, or Special Considerations
*
Emergency Contact First Name
*
Marketing
How did you hear about Elevate Dance Studio?
Please Select
Facebook
Friend/Family
Current Dance Family
Summer Bash
Community Event
Google Search
Other
Additional Notes
Questions, comments, or additional information
Emergency Contact Last Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Student
*
Please Select
Parent
Guardian
Grandparent
Aunt/Uncle
Sibling
Family Friend
Other
Permissions
Permissions Acknowledgement
*
I authorize emergency medical treatment if I cannot be reached.
I agree to Elevate Dance Studio policies.
I grant permission for photos/videos of my dancer to be used for studio promotional purposes.
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
Register
Register
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