Students Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/ Guardian Name

First Name

Last Name

Main Phone

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Alternate Phone

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Hip Hop Dance

Hip Hop 2nd & 3rd - Thurs. 5:30 t0 6:30 REC B

Hip Hop 4th & 5th - Thurs. 7:30 to 8:30 REC A

Hip Hop 6th -12th - Thurs. 6:30 to 7:30 REC A

YES - I Can Dance - for students with special needs

Yes! I Can Dance - Wed. 5:15 to 6:00pm REC C

Teen Tap, Jazz & Lryical

Thurs. 7:30 to 8:45 REC A

Beginner Boys & Girls

Ages 3 & 4, Tues. 5:30 to 6:15

Ages 3 & 4, Wed. 5:30 to 6:15

Ages 4 & 5, Wed. 6:15 to 7:00

Ages 4 & 5, Thurs. 4:45 to 5:30