Students Name
Birthday
Email address
Street Address
City
State
Zip Code
Parents Names
Work
Home Phone
Cell
Age
School Grade
DANCE CLASSES
C
reative Dance/Tumble Combo
(2 years old)
Free Tuition
Baby Ballet (3 years old)
Free Tuition
Ballet (4 years old and up)
Tap (4 years old and up)
Creative Dance (Kindergarten)
Jazz (6 years old and up)
Pointe (10 years old and teacher recommendation)
Lyrical (11 years old and up)
Hip Hop (2nd grade and up)
Clogging (2nd grade and up)
Drill Team (8th Grade and up)
*Competition Team (Audition)
CHEERLEADING AND TUMBLING CLASSES
*Cheerleading (2nd grade and up)
*Tumbling (3 years old and up)
*
(See
tuition information
)
Conflicts or other information
Select One
1st year
at KJSD
5th year
at KJSD
10th year
at KJSD
15th year
at KJSD
NA
Year Started at KJSD
I have read the
policies
of Keely Jardell's School of Dance and i fully understand
the policies. I understand the late fee policy and i agree to follow the
policies
of
Keely Jardell's School of Dance. I understand the failure to abide by the
policies
may result in my child's removal from class.
accept
decline
Registration fee must be mailed or delivered in ten days once form is sent
(see
registration)
Registration form
click here
for more information on registration
click here for our printable registration form
coming soon!
