[2022-2023] Purple • Thurs • Ballet • 5:00pm

Contact information

Name

Email for order confirmation

We'll send your receipt and other important info to this email.

Country

State

Parent Cell Phone

Country

Home address

Zip code

City

State

Dancer First Name

Dancer Last Name

Dancer's Gender

Dancer's Birth Date

Does your child have any medical conditions?

Emergency Contact(s)

Additional information we should know about your child and/or family?

How did you hear about us?

Regular Registration 3 payments of

$75

Included

Free

Additional 0% tax will be applied at checkout.

$75

Total due $75

I understand and agree to the terms

Yes, please send me important news and special offers via email (recommended)

All transactions are secured using 256-bit encryption.

$75

Total due $75