( )New Students: A Pre-Enrollment fee of $50.00 plus a $10.00 registration fee is required for enrollment in all classes. The $50.00 pre-enrollment fee will be applied to your first session tuition.

( ) Returning Students: A Pre-Enrollment fee of $50.00 is required for enrollment in all classes. The $50.00 will be applied to your first session tuition.

Name of Student:______________________________________________

Home Phone________________Age_______Dateof Birth______________

E-Mail Address________________________________________________

Dance School Attended_________________-Number of Years___________