TRIAL CLASS REGISTRATION FORM

Monday, October 5 & Tuesday, October 7

Parent Info:

First name

Last name

Phone

Child Info:

First Name

Last Name

Birthday

Year

Month

Day

Is there anything we should know about your child to help us provide a safe, supportive, and positive dance experience?

Please include any allergies, medical considerations, physical or sensory sensitivities, learning or developmental needs, accessibility considerations, or other information you feel would be helpful for our instructors to know.

Class Selection

Pre - Dance: 3-4 years | Monday 4:30pm - 5:15pm | $5

Pre-Primary: 4-5 year | Monday 5:15pm - 6:15pm | $10

Primary Ballet: 6-7 years | Wed. Oct. 7 4:30pm - 5:30pm | $10

Primary Creative Movement: 6-7 years | Wed. Oct. 7 5:30pm - 6:00pm | $5

Junior Ballet: 8-11 years | Mon. Oct. 5 6:15pm - 7:15pm | $10

Junior Contemp/Modern: 8-11 years | Mon. Oct. 5 | 7:15pm - 8:15pm | $10

Inter Ballet: 12-14 years | Wed. Oct. 7 | 6:00pm-7:00pm | $10

Inter Contemp/Modern: 12-14 years | Wed. Oct. 7 | 7:00pm - 8:00pm | $10

Registration will be completed pending submittion of signed waiver, completed registration form and received payment.

I understand that my registration is not complete until the signed waiver and e-transfer payment have been received.