First Name:* Last:

Parents name:* Birthdate: Age:

Home Phone # Cell Phone #:

Do you receive text messaging? Yes No

Address:

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Please select the class(es) you are enrolling in:

Monday
	5:30 - 6:30 Ballet/Tap/Jazz Combo -
	6:00 - 7:00 Preschool combo 3-4 - FULL
	6:30 - 7:00 Tiny Tots age 2 -
	7:00 - 8:00 Ballet/Tap/Jazz Combo -
Tuesday
	4:00 - 5:00 Preschool Combo 3-4 -
	5:00 - 6:00 Preschool Combo Ballet/tap/tumbling - FULL
	6:00 - 7:15 Ballet/Tap/Jazz Combo -
	6:00 - 7:30 Ballet/Tap/Jazz Combo -
	7:00 - 8:00 Jazz/Contemporary/Hip Hop -
Wednesday
	4:00 - 5:15 Ballet/Tap/Jazz - FULL
	4:00 - 5:30 Jazz/Contem/Hiphop -
	5:30 - 6:45 Ballet/Tap/Jazz /Hiphop Combo -
	5:30 - 6:30 Preschool Combo Ballet/Tap/Tumbling - FULL
Thursday
	4:00 - 5:30 ballet/tap/jazz/hiphop combo -
	5:30 - 6:30 Preschool Combo -
	6:00 - 6:30 Tiny Tots age 2 - FULL
	6:30 - 8:00 Jazz/Lyrical/Hiphop Combo -
Friday
	4:00 - 4::45 Tumbling/Acro - FULL
	4:00 - 4:30 Tiny Tots age 2 -
	4:45 - : Tumbling/acro -

Monday
	5:30 - 6:30 Ballet/Tap/Jazz Combo -
	6:00 - 7:00 Preschool combo 3-4 - FULL
	6:30 - 7:00 Tiny Tots age 2 -
	7:00 - 8:00 Ballet/Tap/Jazz Combo -
Tuesday
	4:00 - 5:00 Preschool Combo 3-4 -
	5:00 - 6:00 Preschool Combo Ballet/tap/tumbling - FULL
	6:00 - 7:15 Ballet/Tap/Jazz Combo -
	6:00 - 7:30 Ballet/Tap/Jazz Combo -
	7:00 - 8:00 Jazz/Contemporary/Hip Hop -
Wednesday
	4:00 - 5:15 Ballet/Tap/Jazz - FULL
	4:00 - 5:30 Jazz/Contem/Hiphop -
	5:30 - 6:45 Ballet/Tap/Jazz /Hiphop Combo -
	5:30 - 6:30 Preschool Combo Ballet/Tap/Tumbling - FULL
Thursday
	4:00 - 5:30 ballet/tap/jazz/hiphop combo -
	5:30 - 6:30 Preschool Combo -
	6:00 - 6:30 Tiny Tots age 2 - FULL
	6:30 - 8:00 Jazz/Lyrical/Hiphop Combo -
Friday
	4:00 - 4::45 Tumbling/Acro - FULL
	4:00 - 4:30 Tiny Tots age 2 -
	4:45 - : Tumbling/acro -

Parent/Guardian name: Date:

DANCE ARTS STUDIO
401 Hwy 11 North
Ellisville, Mississippi 39437