Child/s
Name_______________________________________________________
D/O/B______________________________________________________________
Address____________________________________________________________
Phone
Number_______________________________________________________
Alternative Phone
Number_____________________________________________
E-mail_______________________________________________________________
___yes, I would like my monthly billing and newsletter sent to my e-mail
___no, I would not like my monthly billing and newsletter sent to my
e-mail
Previous Dance/Tumbling
Experience
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
Classes Signing Up For
1._____________________________________________________________________
2._____________________________________________________________________
3._____________________________________________________________________
4._____________________________________________________________________
5._____________________________________________________________________
Days/Times That Work or Don't Work (Classes held
Mon-Sun)(If you are willing to do Saturday morning classes or can go 4pm or
earlier on certain days please let me know!!!)