Laurel School of Dance
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lsd_registration_form.pdf
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103 kb
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THE LAUREL SCHOOL OF DANCE online registration form.
*
Indicates required field
Student's Name
*
First
Last
Student's Birthday
*
Student's Age
*
Parents Name/Guardian
*
First
Last
Home Phone Number
*
Cell Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Emergency Contact
*
Enter your Emergency Contact Here, i.e. Father, Grandmother, Grandfather, Uncle, Aunt
Emergency Contact's Phone Number
*
Choose Your Dance Class Interests (You can select more than one)
*
Twinkle Stars Level 1 (3-4yrs))
Twinkle Stars Level 2 ( 4-5yrs)
Ballet (6-18yrs)
Tap (6-18yrs)
Jazz (6-18yrs)
Hip/Hop (8 and up)
Tumble Tots (ages 3-4yrs)
Tumble Bugs (ages 5-6yrs)
Tumble Rollers (ages 8 and up)
Toddler & Me (ages 18-36mths)
Petite Company (7-8yrs) (must audition)
Mini Company (8-10yrs) (must audition)
Jr. Company (11-14 yrs) (must audition)
Sr. Company (15-19yrs) (must audition)
Session Interested In:
*
Fall
Summer
All
Winter
Class Time, Day its offered and Session you are interested in.
*
You may choose more than one class
Dance Experience (if any)
*
You may selected more than one class time.
How did you hear about us?
*
Personal Referral
Face Book
Phone Book
Radio
Internet
Studio Drive By
Submit