The following student(s) want to register for the following fall classes:
Mondays 4:15-5:00pm Dance Combination: Jazz/Ballet/TapMondays 5:15-5:50pm Beginning Dance/Creative Movement/MusicalityMondays 5:55-6:35pm Dance Combination: Jazz/Ballet/TapMondays 6:35-7:15pm Dance Combination: Jazz/Ballet/TapMondays 7:15-7:55pm Dance Combination: Jazz/Ballet/TapMondays 7:55-8:40pm Pre-Pointe/Pointe IntensiveTuesdays 10:30-11:05am Beginning Dance/Creative Movement/MusicalityTuesdays 4:25-5:10pm Youth Hip Hop/Music TheaterTuesdays 5:10-5:55pm Dance Combination: Ballet/Jazz/LyricalTuesdays 5:55-6:40pm Junior Hip Hop/Music TheaterTuesdays 6:40-7:25pm Dance Combination: Jazz/Lyrical/ContemporaryTuesdays 7:25-8:10pm *Intermediate-Advanced Ballet/Pre-Pointe/PointeTuesdays 8:10-8:55pm Dance Combination: Jazz/Lyrical/Contemporary
Student’s Name(s) and Grade(s) in School:
Student's Birth Date (mm/dd/yy):
Parents’ Name(s):
Mailing Address:
Email Address
Home Telephone:
Cell Phone:
Emergency Phone/Contact:
*Please register by submitting your payment at your earliest convenience online here at our web site by clicking “Pay Online” or by mailing your payment to The Dance Studio, 107 North Marion Street, Kirksville, MO 63501). Class positions are limited in numbers and will be filled on a first come, first served basis.
