Company Reg Form 2025-20256

Registration fees must be paid at time of registration in order to hold dancers Spot

Company registration closes August 10th

Student Name*

Date Of Birth*

Age*

Parent Name*

Street Address*

City & State & Zip*

Phone Number

Cell Phone Number

Email*

Emergency Contact

Emergency Number

Class One

Class Two

Class Three

Class Four

Class Five

Class Six

Class Seven

Tuition Fees

Registration fee per family

Total Monthly Tuition Fee*

Your Wednesday Color*

FORM IS CLOSED