MWSD Registration Form - 2023/2024 Dance Season

All parents and adult students must sign and return all studio policy forms before the start of classes.

DATE

Date

STUDENT NAME

AGE

Date of Birth

Date

STREET ADDRESS

APT. #

CITY

ZIP CODE

PARENT OR GUARDIAN NAME

PARENT OR GUARDIAN E-MAIL

example@example.com

PARENT OR GUARDIAN CELL PHONE

Format: (000) 000-0000.

HOME PHONE

Format: (000) 000-0000.

STUDENT E-MAIL (if applicable)

example@example.com

STUDENT CELL PHONE (if applicable)

Format: (000) 000-0000.

Emergency Contact (Other Than Person Listed Above)

Emergency Contact Phone Number

Format: (000) 000-0000.

Please Note: Class confirmations and studio updates may be sent via email. Please be sure to regularly check and acknowledge receipt of any information sent via email.

Students ages nine and older may choose phase of dance:

Please choose instruction preference below:

TO BE COMPLETED BY NEW STUDENTS ONLY: Have you studied dance before?

Where?

How long?

How did you find out about our school?

Please Note: All payments are non-refundable.

Registration Form - 2023/2024 Season