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Please fill out a separate registration form for each dancer you wish to enroll. The registration fee is $35 for one dancer, and $10 for each additional dancer.

Parent Full Name (First and Last)

Email Address

Student Birthday

Student Full Name (First and Last)

Phone Number

Student School Grade

Has your child danced before?

Yes, we are a returning Academy Dancer

Yes, we are transfering from another studio

Yes, but its been a while

No, we are new to dance

Which class(es) would you like to register for?

Parent & Me (18 m-3 yrs.)

Fine Arts Club (2-5 yrs.)

Expressive Movement (3-4 yrs.)

Tap/Ballet Combo (4-5 yrs.)

Jazz/Ballet Combo (4-5 yrs.)

Ballet

Tap

Jazz

Hip Hop

Contemporary

Musical Theater

Lyrical

A Capella Tap

Acrobatics

Technique and Conditioning

Please select one of the following

1st Dancer - $35

Additional Dancer(s) - $10

Do you have a coupon? If so, please write the coupon code below

Any comments or notes you'd like to share with us as we process your registration?

THE ACADEMY OF DANCE AND PERFORMING ARTS

1004 Columbus Ave.

Marysville, OH 43040

P: 937-209-9411

Ballet

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