REGISTRATION FORM
Please print and bring to your conference or first class.
PARENT’S NAME(S) _____________________________________________________________________
ADDRESS_____________________________________________________________________________________
City__________________________State__________________Zip_______________________________________
Email ___________________________________Best Telephone_____________________________________
Other Telephones____________________________________________________________________________
STUDENT NAME ________________________________________Birth Date________________________
STUDENT NAME ________________________________________Birth Date________________________
STUDENT NAME ________________________________________Birth Date________________________
STUDENT NAME ________________________________________Birth Date________________________
Preferred Class Time____________________________________
Second choice____________________________________________
Special Considerations (such as allergies)_________________________________________________
List of child’s other non-school activities _________________________________________________
________________________________________________________________________________________________
I have read and accept the Studio Policy for 2020-2021.
Signed_________________________________________________Date___________________________________
Please print and bring to your conference or first class.
PARENT’S NAME(S) _____________________________________________________________________
ADDRESS_____________________________________________________________________________________
City__________________________State__________________Zip_______________________________________
Email ___________________________________Best Telephone_____________________________________
Other Telephones____________________________________________________________________________
STUDENT NAME ________________________________________Birth Date________________________
STUDENT NAME ________________________________________Birth Date________________________
STUDENT NAME ________________________________________Birth Date________________________
STUDENT NAME ________________________________________Birth Date________________________
Preferred Class Time____________________________________
Second choice____________________________________________
Special Considerations (such as allergies)_________________________________________________
List of child’s other non-school activities _________________________________________________
________________________________________________________________________________________________
I have read and accept the Studio Policy for 2020-2021.
Signed_________________________________________________Date___________________________________