BLSD

BLSD

REGISTRATION

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



Student Name:____________________________________________________


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:  _____________________________________________________


________________________________________________________________


________________________________________________________________


________________________________________________________________


Date:____________Check#:_____________Amount Enclosed:_____________

MAIL OR DROP OFF AT STUDIO WITH FIRST TUITION PAYMENT  

Click for Rules and Tuition Information