Dear Dancer and Parent, What a year!!! Now it is time to look ahead to the next one.  If you are interested in dancing next year, please fill out this pre-enrollment form to ensure you a spot for the next dance year.  I will use this information to place your child in a class and to contact you for our fall enrollment.

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State
Zip
Home Phone
E-mail

Please tell us about the dancer:

Name
Age
Grade

Select any of the following options that apply (ages 3-10):

Combination Class
Tumbling Only

Select any of the following options that apply (ages 11 and up):

Tumbling   	Tap      	Ballet  	Modern  
Jazz           	Hip Hop   	Pointe    

Please provide any comments.

Paola School of Dance * Paola, Kansas * (913) 755-6828 * (913) 731-6372*Email

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Last modified: 04/18/10