STUDIO 34 DANCE ACADEMY
CLASS REGISTRATION FORM
*One Per Dancer
Student Name
Age
Grade (as of 9/08)
Parent/Guardian Name
Phone Number
Cell Number
Address
City / State
Zip Code
email address
Class
Day
Time
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total Classes per week
Total Monthly Tuition
Parent/Guardian Signature
Date