Online Registration Please fill out completely before submitting. An email confirming your classes will be sent shortly. Student InformationStudent Name* First Middle Last Gender*MaleFemaleYears ExpNew to dance123456789101112131415161718Date of Birth* How did you find us/referral name?*Are you interested in auto-pay for tuition?*YesNoParent or Guardian InformationName*Contact Phone*Alternate Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Relation to Student*Email* Enter Email Confirm Email Medical InformationPrimary Insurance ProviderPolicy NumberPrimary Care PhysicianAny concerns we should know? Please listFall 2019 CoursesFall classes will start the week of Sept 9, 2019.Check Courses for Registration Petite Stars Monday @ 10:00am Petite Stars Monday @ 11:00am Petite Stars Tuesday @ 11:00am Petite Stars Tuesday @ 1:15pm Petite Stars Wednesday @ 11:00am Tiny Stars Tuesday @ 4:30-5:15pm (FULL-Please select ALL STARS) Mini Stars Tuesday @ 4:30-5:30pm All Stars Tuesday @ 5:15-6:00pm Small Stars Tuesday @ 5:30-6:30pm (FULL--waiting list only) Super Stars Tuesday @ 6:00-7:00pm Nova Stars Tuesday @ 6:30-7:30pm Hip Hop TS Kidz Wednesday @ 4:30pm (FULL--waiting list only) Hip Hop TS Tweenz Wednesday @ 5:30pm Hip Hop TS Juniorz Wednesday @ 6:30pm Hip Hop TS Beatz Tuesday @ 7:00-8:00pm Hip Hop TS Boyz Only Friday @ 4:30-5:30pm Mini Company Thursday @ 4:30-5:30pm Jr Company Thursday @ 5:30-6:30pm Teen Company Thursday @ 6:30-7:30pm Sr Company Thursday @ 3:30-4:30pm Fusion/Synergy Competition Team Mon/Wed Eclipse Competition Team Mon/Wed/Fri Tumble Tots Tuesday @ 10:30am(FULL-waiting list only) Tumble Tots Wednesday @ 12:30pm (FULL-waiting list only) Tumble I Thursday @ 4:30-5:30pm (FULL--waiting list only) Tumble II Thursday @ 5:30-6:30pm (FULL--waiting list only) Power Tumble Thursday @ 6:30pm-7:30pm Open Tumble Saturday @ 10:30-11:30am Mini Cheer Squad Monday @ 4:30-6:00pm Int Cheer Squad/Squad Monday @ 4:30-6:00pm Adult Tap Monday @ 7:30pm Adult Ballet Tuesday @ 7:30pm Mom & Me Yoga Saturday @ 9:30am (pending enrollment) Fall classes are set to start the week of Sept 9, 2019.Digital SignatureParent or Guardian* First Middle Last Signature* By checking this box, the above listed student, parent, and/or guardian agree to all of The Studio tuition and fees policies. Additionally, each student must provide a signed copy of the release of liability and of the code of conduct/student handbook before registration can be completed. All insurance information will only be shared in the case of a medical emergency and only then shared with appropriate medical professionals. All registration materials will be held confidentially and will remain the property of The Studio. CAPTCHAEmailThis field is for validation purposes and should be left unchanged.