Dance Electric Dance Academy - Company Message

Angela Bowden’s
DANCE ELECTRIC
2957-1 Capital Park Drive  Tallahassee, Fl  32301
(850)-322-2360

Registration Form 2019-2020



Child’s First Name: ____________________     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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