PREMIER DANCE CENTRE

PRIMARY PROGRAM REGISTRATION

AGES 6-8

Dancer's Full Name

Dancer's Age

Does your dancer have previous dance experience?

Yes

If yes, please briefly describe their previous dance experience.

Parent/Guardian Full Name

Phone

Class Selection

Please select the classes your dancer is interested in attending. You may select multiple classes.

TUESDAY

4:00–5:00 PM — Primary Ballet Technique

5:00–6:00 PM — Primary Lyrical

THURSDAY

5:00–6:00 PM — Primary Ballet Technique

6:15–7:15 PM — Primary Jazz

SATURDAY

10:00–11:00 AM — Primary Ballet Technique

Are you interested in having your dancer participate in the full Primary Program?

Yes — Full Primary Program

No — Individual Classes

Unsure — I would like guidance on the best classes for my dancer

And lastly, how did you hear about us?

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