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. YOU CAN ALSO PAY WITH

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