Please print this form out or download it and bring it with you to register your child.....

Student Name:__This page is under construction, we apologise for the inconvienence. Please call the studio at 847-359-3903 or email DANCENFLY@GMAIL.COM for information.__________________________________________________

Birthdate:__________  Age:_______   Male/Female(circle)

Address: _________________________________________________________

City:  ________________________State:  _______  Zip:  _________________

Parent or Guardian Name: ___________________________________________

Signature agreeing to studio rules:_____________________________________

Telephone Home:________________________  Cell:______________________

Email Address:  ____________________________________________________

List Classes:  _____________________________________________________

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Date:____________Check#:_____________Amount Enclosed:_____________

MAIL OR DROP OFF AT STUDIO WITH FIRST TUITION PAYMENT. YOU CAN ALSO PAY WITH

ZELLE, A CREDIT CARD USING VENMO SEARCH @Bonnie-Lindholm, CHECK OR CASH

Click for Rules and Tuition Information