2009-10 Dance School Registration

You may fill out the student registration form below and submit it through the website today. After registration is completed you will be sent your billing statement and class information. You may also print a registration form above and submit it by mail or fax to us. Any questions please email us at info@jeannettesdanceschool.com

Student's Name: Date of Birth: Street Address: Apartment Number: Zip Code: Home Phone Number:: Email : Mother's Name: Father's Name: Emergency Name: Emergency Phone Number: Medical Problems: Classes you'd like to attend   Tap   Jazz   Ballet   All Three The Day / Time of Classes DAY: Time: DAY: Time NEW STUDENT REFERRED BY:: Comments Comments:

Please only click submit once. We are experiencing problems with our online registration form telling you that there is an error. Please disregard message. If you do not receive an email within two days please contact me at info@jeannettesdanceschool.com and I will register you through email. Thanks, Jeannette