Name:   Parents:

Grade for 2017-2018 school year:
   Birth date:

Address:


City:   Zip:

Home Phone: Cell:

Work Phone:  Other:

Email Address:  

CHECK the Box of the desired class and INDICATE years of experience in the space provided.

Creative Movement
Combo (Ballet/Tap)
Ballet
Pointe
Tap
Jazz
Cheerleading
Contemporary
Hip Hop
Stars (by invitation) 

Special Requests / Considerations:

Photo ReleaseDuring the course of the year, pictures may be taken during your dancer's class(es). These photos could be used on studio 2's social media or in studio 2's advertising materials.  Please provide your consent for the use of your dancer's likeness by signing below:

Your Name:  Date:                                                                                   

Signature: 

Mail To: studio 2, 3601 Calvert St. #19, Lincoln, NE  68506

 

 

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Registration Form
Fill in the registration information then print this form from your browser. Please include a $20.00 registration fee for each student and mail to the address listed at the bottom of the form. Classes will be confirmed by e-mail.