2026- 2027 Dance & Movement Program Registration Form Child's Name(Required) First Last Child's Grade(Required)1st Grade2nd Grade3rd Grade4th 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 5:45pmTuesday Nights: 3rd- 4th Grades. 5:50 to 6:45pmTentative 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 PhoneThis field is for validation purposes and should be left unchanged.
