Name:

Last Name:

Date of Birth (mm/dd/yyyy)

Malling Address:

Phone number (home):

Phone number (cell):

Email(s):

Allergies or any health issues:

Class(es) disired:

Kinder Dance 2 (3-4years)
Hip Hop 1 (6-9years)
Hip Hop 2 (10 years +)
Hip Hop Adult (18 years +)
Jazz 1 (6-9years)
Jazz 2 (10 years +)
Contemporary 1 (6-9 years)
Contemporary 2 (10 years +)
Acro 1 (6 years +)
Tap (6 years +)

have read the COVID-19 functioning of operations

Yes