Company Group D Reg Form 2024-2025

This form is for only Company Group D dancers who have been invited to join our Company team.

Registration Fee must be paid in Full to hold dancers spot.

VENMO:  @Pizazzdance6

Student Name*

Date Of Birth*

Age*

Parent Name*

Street Address*

City & State & Zip*

Phone Number

Cell Phone Number

Email*

Emergency Contact*

Emergency Number

Class*

Please Select Company Group D 4 Classes: (Tap Ballet Jazz and Hip Hop MONDAY)

Tuition

Please Select 4 Classes $155.00

Registration Fee

Please Select $20.00 per Dancer $30.00 per Family

Total Monthly Tuition Fee*

Your Monday Color*

Submit Form

Please review what you entered before you click the Submit button, and click it ONLY ONCE.