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Online Fall Registration Form

Please complete the Online Registration Form below.

After completing and submitting this form, we will have one of our qualified staff teachers contact you to help schedule classes for you or your children.

Parent/Guardian:*
Address:*
City, State, Zip:*
Phone:*     Cell Phone:  
Email:*
Emergency Contact:*
Phone:*     Cell Phone:  
How did you hear of us? Post Card     Newspaper     Word of Mouth
  Other: 

Complete the following information for each student.

Student 1:
Age:     Birth Date:  
Enrolling in: Pre-Dance (ages 3-4)    Primary Combo (ages 5-6)
Primary Acro (ages 5-6)    Primary Jazz (ages 5-6)
Ballet    Pointe    Ballet Technique    Tap
Jazz     Precision Dance     Lyrical Dance
Musical Theatre     Acrobatics     Hawaiian
Modern Dance     Acting     Vocal Coaching
Puppetry
 
Student 2:
Age:     Birth Date:  
Enrolling in: Pre-Dance (ages 3-4)    Primary Combo (ages 5-6)
Primary Acro (ages 5-6)    Primary Jazz (ages 5-6)
Ballet    Pointe    Ballet Technique    Tap
Jazz     Precision Dance     Lyrical Dance
Musical Theatre     Acrobatics     Hawaiian
Modern Dance     Acting     Vocal Coaching
Puppetry
 
Student 3:
Age:     Birth Date:  
Enrolling in: Pre-Dance (ages 3-4)    Primary Combo (ages 5-6)
Primary Acro (ages 5-6)    Primary Jazz (ages 5-6)
Ballet    Pointe    Ballet Technique    Tap
Jazz     Precision Dance     Lyrical Dance
Musical Theatre     Acrobatics     Hawaiian
Modern Dance     Acting     Vocal Coaching
Puppetry

If you have any questions or information, or you or your children have any special needs we should know about, please list them in the comments box below.

Comments:
 
I assume all financial responsibilities for the above student(s) at
Otsego School of Dance and Performing Arts I agree*
School Policies: View and Read I agree*
 

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