Clone of Sam's School of Dance Registration Form 2026-2027

Welcome to Sam's School of Dance!

Please complete one registration form for each dancer. Fields marked with * are required.
Dancer Name

First NameLast Name
Age
Birthdate (mm/dd/yyyy)

MonthDayYear
Parent(s) or Guardian(s)

First NameLast Name
First NameLast Name
Phone Number (H)
Format: (000) 000-0000.
Phone Number (C)
Format: (000) 000-0000.
E-mail
Additional e-mail
Allergies or medical conditions?
Years of dance experience:
If a returning dancer, the class the dancer was previously enrolled in:
Term payment options
To complete your registration, a non-refundable $25 registration fee is required.

Please send your e-transfer to samsdanceschool@gmail.com after submitting this form.

Your registration is not complete until both this form and payment have been received.
Should be Empty:

Welcome to Sam's School of Dance!