MOVEMENT DANCE STUDIO PRE-REGISTRATION FORM

Thank you for your interest in our dance studio! Please complete this form to pre-register for classes.

STUDENT INFORMATION

PARENT/GUARDIAN INFORMATION (If applicable)

EMERGENCY CONTACT

DANCE EXPERIENCE

CLASSES OFFERED BALLET, JAZZ, HIP-HOP, MODERN(TEENS), FLEX AND STRETCH(ADULTS)

MEDICAL INFORMATION

PAYMENT & POLICIES

• A non-refundable registration fee of $__ is required to secure a spot.

• Payment options: Cash / Credit / Check / Online Payment

• ⁠By signing below, you agree to our dance school’s policies and waiver of liability.

SIGNATURE

Thank you for registering! We will contact you soon with confirmation and class details.