Register | Dance By Mallory | Jasper Arts Center

STEP 1: DANCER INFORMATION

Field label

NEW Student

RETURNING Student

Dancer First Name:*

Last Name:

Birthdate:*

Age:

Grade:

Years of Dance:

Any food allergies?

Parent's Name:*

Home Phone Number:

Cell Phone Number:

Emergency Contact:

Emergency Number:

Address:

City:

State:

Zip:

Email:

Free Text

*IMPORTANT: We will use this address for communication about billing, student evaluations, and other important topics. Please keep us up-to-date if your email address changes throughout the year, and do not treat studio email as junk mail.

* = Required items

Step 2: Choose Your Classes

TUESDAY

4:30-5:15pm - Pom Technique/Hip Hop Tricks (Weekly Specialty Class)

5:20-6:10pm - Intermediate Hip Hop

6:15-7:00pm - Beginner Jazz

WEDNESDAY

3:30-4:20pm - Advanced

4:30-5:20pm - Advanced Jazz

5:25-6:10pm - Beginner Hip Hop

6:15-7:05pm - Intermediate Jazz

7:10-8:00pm - Intermediate Pom

THURSDAY

3:30-4:20pm - Intermediate Hip Hop

4:30-5:20pm - Advanced Hip Hop

5:25-6:15pm - Advanced Pom

6:20-7:05pm - Beginner Pom

7:10-7:55pm - Beginner Hip Hop

Terms and Conditions:

By checking this box, I state that I have read, and agree with, the policies of Dance By Mallory.

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