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Register Online

Student Name: *     Birthdate:     Age:      Current grade:

Home Address: *  City: State: Zip:

Home telephone: *

Parent's/Guardian's name: Cell:

Email address: *

Any health concerns, ongoing injuries, or food allergies?

Emergency Information (If we can't reach parents)

Emergency name:

Telephone: Relationship to student:

* = required items

Please select the classes of interest

Tuesday Wednesday Thursday Saturday
4:00-5:00 TEEN BALLET
5:00-6:00 TEEN LYRICAL
6:00-8:00 12-TEEN TAP JAZZ
4:00-5:00  3-4 Ballet/Jazz Tap
5:00-6:00 5-6 Ballet/Jazz Tap
9:30-10:00am Parent & Me
10:00-10:30am 3-4 Ballet/Tap
10:30-11:15am 4-5 Ballet/Tap
11:15-11:45am Tumble Tots
5:00-6:30 7-9 Ballet/Jazz Tap
6:30-7:00 MUSICAL THEATER
5:00-6:30 7-8 Ballet/Jazz Tap
6:30-7:30 ADULT TAP
9:30-10:00am Parent & Me
10:00-10:30am 3-4 Ballet/Tap
10:30-11:15am 4-5 Ballet/Tap
11:15-11:45am Tumble Tots
4:00-5:00 TEEN BALLET
5:00-6:00 TEEN LYRICAL
6:00-8:00 9-12 Ballet/Jazz Tap
4:00-5:00 5-6 Ballet/Tap/Jazz
5:00-6:00 3-4 Ballet/Jazz Tap
6:00-8:00 9-11 Ballet/Jazz Tap
9:00-10:00 HIP HOP
10:00-11:00 *JAZZ ADVANCED
11:00-12:00 *TAP ADVANCED
9:00-10:00 4-6 Ballet/Jazz Tap
11:00-2:00 REHEARSAL

Parent/Legal Guardian name: * Date:

* = required items

 

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DANCERS STUDIO
3673 Sunnyside Drive (Near Riverside Plaza)
Riverside, California

Studio Phone: (951) 788-1884
Email: dancersjen@aol.com

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