Beyond Dance Pre-Registration Form

Student's Name *

Parent/Guardian Name
Required for Children Ages 18 and Under

Student's Gender *

Female Male

Date of Birth

Age Group *

3-5 year old 6-9 year old

10-13 year old 14-18 year old

Other

School (if applicable)

Email Address *

Phone Number *

Instagram Account (if applicable)

What are you interested in? (Check all that applies) *

Children's Dance Classes (Ballet, Jazz, Hip Hop, Lyrical Etc.)

Adults Classes (Yoga, Kickboxing,Salsa, Zumba...)

Taekwondo Summer Camp

Birthday Parties Private Piano Lessons

Studio Space Rental Job Opportunity

Other

Dancer's Shoe Size (Euro Measurements)

Additional Information