Dance Electric Dance Academy - Company Message
 Angela Bowden’s
DANCE ELECTRIC
2957-1 Capital Park Drive  Tallahassee, Fl  32301
(850)-322-2360
Registration Form 2017-2018



Child’s First Name:______________________ Child’s Last Name:_________________________

Parents’ Names:____________________________________________________________________

Address:_______________________________________________________________________

City:________________          Zip:_________

Child’s DOB:______________     Current Age:_________________________

School Currently Attending:_________________________ Grade:______

Home Number:____________________________
 
Cell Number:_____________________________

 Email Address:___________________________________________________

Any previous dance experience:________________________________________________
__________________________________________________________________________
__________________________________________________________________________


Classes Interested in Taking For Fall:

____Ballet/Tap combo 4+   ____Ballet        _____Pointe(must be approved)

___Tap          ___Jazz(5+)      ____Hip-Hop(6+)      _____Contemporary(8+)      
                           
 ____Conditioning(mandatory for team members)    ____Acrobatics 5+

____creative dance, beginning ballet 2-3              ____Tap Only

____B-Boy, Break, hip-hop    ______Adult Class   _____Lyrical
    
                                                                                                 

Class days & times available:      _________________________________________
                                                     _________________________________________
                                                     _________________________________________
                                                     _________________________________________
                                                     _________________________________________
                                              
**A $20.00 non-refundable enrollment fee must accompany this form.  Thank you

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