Summer Register - Dance Centre North

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Student's Name(Required)

Parent's Name(Required)

Address(Required)

Street Address City State ZIP Code

Email(Required)

Home Phone(Required)

Cell Phone(Required)

Emergency Phone(Required)

Grade(Required)

Age(Required)

DOB(Required)

Former Training

(New Students Only)

Class division(Required)

Summer Dance Camp (July 6-10)

Children's Advanced 1 & 2

Intermediate

Intermediate/Advanced 1

Intermediate/Advanced 2

Advanced Ballet

Adult Classes

Not Sure

Classes(Required)

Ballet

Tap

Jazz

Modern

Theater dance

Adult ballet

Adult tap

Comments/Questions/Notes

How Did You Hear About Us?

If Other, Please Let Us Know

To reserve your child’s placement in class and confirm the class is running, this Registration Form and a $25.00 Non-Refundable Registration Fee must be paid to the office NO LATER THAN June 30, 2026.
There is a $30.00 late fee for any tuition installment 30 days past due. There will be a $30.00 service charge for any returned checks.

Type your name below to "sign" this form agreeing that all of the above is accurate and agreed.(Required)

Register for Summer

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