Student Enrollment Form

To enroll fill out the form below or contact us. After signing up one student you can use this abbreviated form for additional students.

Student Type *

Semester(s) *

Student Info

Student's First Name *

Student's Last Name *

Student's Birthday *

Year

Month

Day

Student's Age *

Student's School

Student's Grade *

Class Info

Classes Desired *

List the classes you want

Date or Time conflicts

Is there a day or time that you CANNOT come for lessons? If so, when?

Previous Experience *

Previous Dance / Baton / Gymnastics Experience. If none, type "none".

Payment preference *

Only applies to Fall/Spring enrollment since the Summer session is only one month long.

Contact Info

First Name of Parent or Guardian *

Last Name of Parent or Guardian *

Email *

Cell Phone *

Home Phone

Work Phone

Street Address *

City *

State *

Zip Code *

Employer

Emergency Contact

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone *

Emergency Contact Relationship *

About us