Parent Name *

First Name

Last Name

Parent Phone # *

(###)

###

####

Dancer Name *

First Name

Last Name

Dancer Birth Date *

MM

DD

YYYY

Select Your Free Trial Day! *

Dancers will be split into appropriate age groups.

Saturday, June 21st (10:00-10:30AM)

Wednesday, July 2nd (6:00-6:30PM)