ONLINE REGISTRATION FORM
  Check this box if you are a returning student and all of your information is the same as previous year
Name of Dancer
Address For Receiving Mail
E-Mail Address
Parent(s) Name
Home Phone:
Work Phone:
Work Phone:
Cell Phone:
School attending in the Fall of 2012:
Grade dancer will be in the Fall of 2012:
Date of Birth
Age
List daycare or after school program for your child
List prior dance history, if any
Please make note of any physical, medical limitations
or medications of dancer

Class Enrollment

Check the type of classes that you are registering for:
Suggested for 3 year olds -
Preschool combination class that will include
Ballet & Creative Movement
Preschool Combination Class (4 year olds & 5 year olds)
that will include Ballet, Tap & Creative Movement
School Age Combination Classes to include
Ballet, Tap & Jazz (Suggested for 1st grade - 6th grade
Acrobatic/Tumbling (Preschool & Up)
Ballet (Suggested for the serious dancer, 7th grade & up
(2) days a week, if Ballet, Tap and Jazz are selected)
Tap (Suggested for the serious dance 7th grade up)
Jazz (Suggested for the serious dancer 7th grade up)
Troope Class (to be eligible for troope, one must take all three classes in Ballet, Tap & Jazz for at least a period of 3 years and be at least 10 years of age, 5th grade equivalent). Must meet the approval of teacher by interview and review for all new and returning dancers...
Intensive Class designed for the very serious dancer. Dance competitions are a part of this class. Must take Ballet, Tap, Jazz & be a member of the All That Glitters Dance Troope (by teacher(s) recommendation only)
Hip-Hop for school-aged Beginners and Advanced Students
Pointe (Teacher recommendation only)
Mommie and Me Class (designed for the toddler
and caregiver to share Music & Movement together

ADDITIONAL INFORMATION
How did you hear about us?

IN CASE OF EMERGENCY

  
Name of Contact:
Relationship to Student:
Home Phone:
Work Phone:

TO COMPLETE YOUR REGISTRATION
To finish your registration you must submit the required
fee in the next step.
Submit fee of $25.00 on or before June 10, 2012 non-refundable
(After June 10th fee is $35.00)