Online registration form. Click submit and all information will be forwarded to studio office.

(For a printable registration form, to fill out and bring to the studio office in person - Click Here)



2010 -2011 Barb Denny's Studio of Dance Arts Registration Form

Parents Name(s):
(first and last please)

Address:
City:
State:
Zip Code:
Home Phone Number:
   Work Phone #1:
Cell Phone:
  Work Phone #2:  
E-Mail Address(s):

Emergency Contact :
(Name and Phone Number)

Comments:

Student Information

Student #1

First Name:
   Last Name:  
Date of Birth:
  Year Started at Barb Denny's:  
Any Health or Physical Issues:
Classes Interested In:
Children's Combination  Tap  Jazz  Acro  Pointe  Technique  Modern  Hip Hop  Lyrical  Musical Theater  Performing Ballet  Social Dancing  

Student #2

First Name:
   Last Name:  
Date of Birth:
  Year Started at Barb Denny's:  
Any Health or Physical Issues:
Classes Interested In:
Children's Combination  Tap  Jazz  Acro  Pointe  Technique  Modern  Hip Hop  Lyrical  Musical Theater  Performing Ballet  Social Dancing  

Student #3

First Name:
Last Name:  
Date of Birth:
  Year Started at Barb Denny's:  
Any Health or Physical Issues:
Classes Interested In:
Children's Combination  Tap  Jazz  Acro  Pointe  Technique  Modern  Hip Hop  Lyrical  Musical Theater  Performing Ballet  Social Dancing  

Student #4

First Name:
Last Name:  
Date of Birth:
  Year Started at Barb Denny's:  
Any Health or Physical Issues:
Classes Interested In:
Children's Combination  Tap  Jazz  Acro  Pointe  Technique  Modern  Hip Hop  Lyrical  Musical Theater  Performing Ballet  Social Dancing  

Student #5

First Name:
Last Name:  
Date of Birth:
  Year Started at Barb Denny's:  
Any Health or Physical Issues:
Classes Interested In:
Children's Combination  Tap  Jazz  Acro  Pointe  Technique  Modern  Hip Hop  Lyrical  Musical Theater  Performing Ballet  Social Dancing  

Student #6

First Name:
Last Name:  
Date of Birth:
  Year Started at Barb Denny's:  
Any Health or Physical Issues:
Classes Interested In:
Children's Combination  Tap  Jazz  Acro  Pointe  Technique  Modern  Hip Hop  Lyrical  Musical Theater  Performing Ballet  Social Dancing  



Barb Denny's Studio of Dance Arts
25 Lake Avenue, Lancaster, New York 14086 - (716) 681-6515


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