Dancer's Name
Street Address
City
Zip
Home Phone
Student's Cell Phone
Email
Birthdate
Age
Year Started with Ann
School Name
Grade in School
Dancer's Height
Dress Size
Street Shoe Size
Studio will complete the following section
Studio Use Only: Bust
Studio Use Only: Waist
Studio Use Only: Hips
Studio Use Only: Girth
Studio Use Only: Inseam
Studio Use Only: Outseam
Parent/Guardian Information
Name of Parent/Guardian/Person Dancer Lives With
Address (if different from above)
City (if different)
Zip (if different)
Work Phone
Cell Phone
Parent's Email Address
Yes, email me the monthly newsletter!
Emergency Contact Information
Emergency Contact Name
Relationship
Emergency Contact Phone Number(s)
Additional Information
Names of other family members in dance
Please list any medical conditions the dancer has...
Student pickup instructions, if any
Please list any performance classes, if any
List the classes you are registering for.
Enrollment fee is $10. Please select your payment method
Open enrollment is July 28-31 at the studio from 5-8 p.m.
Upon submission, you will be redirected to the Liability Waiver. Your registration is not complete without this form.
