Online printable registration form.

Please print, fill out, and submit to the studio office.

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2008 -2009 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  NonPerforming Ballet  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  NonPerforming Ballet  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  NonPerforming Ballet  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  NonPerforming Ballet  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  NonPerforming Ballet  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  NonPerforming Ballet  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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