ONLINE REGISTRATION FORM 2009-2010

 

Please complete the following information by using your TAB key to move through the form.

Do not hit ENTER or the SUBMIT until you've completed the form.

A DP Studio representative will contact you to complete the registration process.

Payment is not accepted online.

Payment may be made by cash, check, or credit card by stopping by the studio, by mail,

or by speaking with a DP representative.  Registration fee is $50 per dancer or $60 per family.

 

Student's Information:

Name
Date of Birth (mm/dd/yyyy)
Sex Female Male
Street Address
Address (cont.)
City
State
Zip
Home Phone
Cell Phone
E-mail

Mother's Information:

Name
Work Phone
Home Phone
Cell Phone
E-mail

Father's Information:

Name
Work Phone
Home Phone
Cell Phone
E-mail

Emergency Contact:

Name
Work Phone
Home Phone
Cell Phone
Person In Charge of Account:

 

 
Previous Dance School (if any):

 

 
Years of Dance Experience:

 

 
Academic School:

 

 
Academic Grade:

 

 
How Did You Hear About Us? (newspaper, webpage, advertisement, etc.)

 

 

 
Class Selection (Please Indicate Level/Day/Time)

 

Dance Productions Studio
Copyright © 1999. All rights reserved.
Revised: 08/12/09