Student Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Parent or Legal Guardian's Name *

Any student under the age of 18 and/or unable to legally agree to the terms stated on this form must also have their legal guardian complete the Legal Guardian's Emergency Contact Information section.

First Name

Last Name

CLASS SCHEDULE - Please select which class(es) you would like to enroll for: *

PLEASE ENSURE TO SELECT THE CORRECT CLASS FOR YOUR CHILD'S AGE. NOTE: Depending on your student's assessment by the instructor, they will be placed into the proper class level accordingly.

Ballet (5-8YO) | Mondays 4 - 5PM

Teens Performance Group (Audition or Invitation Only) | Mondays 6 - 7PM

WAITLIST - Youth Hip Hop (9-12YO) | Tuesdays 5 - 6PM (Level 1)

Youth Hip Hop (9-12YO) | Tuesdays 6 - 7PM (Level 2)

WAITLIST ONLY - Kids Hip Hop (5-8YO) | Wednesdays 4 - 4:45PM (Level 1)

Kids Hip Hop (5-8YO) | Wednesdays 5 - 5:45PM (Level 2)

WAITLIST ONLY - Kids Breaking (7-9YO) | Wednesdays 6 - 7PM

Youth Afro (Invitation Only - Must Have been Invited by Instructor)

WAITLIST ONLY - Kids Hip Hop (5-8YO) | Thursdays 5 - 5:45PM (Level 1)

Youth Breaking (10-17YO) | Thursdays 6 - 7PM

TUITION PAYMENT OPTIONS

1 Class/Week - One-Time Payment of $450 Five Installment Payments of $93 2 Classes/Week - One-Time Payment of $792 Five Installment Payments of $165 + Annual Registration Fee of $35 - Charged in yearly in August. New students will be charged ARF the first time joining the studio.

I prefer to make a one-time payment.

I prefer to make installment payments. If paying in installments, must set up automatic payments.