Spring 2026 Dance and Movement Registration Form Child's Name(Required) First Last Child's Grade(Required)1st & 2nd Grade3rd & 4th GradeChild's DOB(Required) MM slash DD slash YYYY 1st and 2nd grade admissions are fullChild's School(Required) Child's Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother's Name(Required) Mother's Cell #(Required) Father's Name(Required) Father's Cell #(Required) Parent E-mail Address(Required) Emergency Contact Name(Required) Emergency Contact Number(Required) Grade 2026/2027 School Year.(Required)Tuesday Nights: 1st - 2nd Grades. 5:00pm to 5:45pmTentative Dates: February: 2/3, 2/10, 2/17, 2/24 March: 3/10, 3/17, 3/24 April: 4/14, 4/21, 4/28 May: 5/12, 5/19, 5/26 June: 6/2 Sponsor a Girl for Dance? If you would like to sponsor a girl for dance? Sponsor a Girl for Dance Price: Total Coupon Credit Card CommentsThis field is for validation purposes and should be left unchanged.