DANCE DYNAMICS
FALL REGISTRATION FORM 2008-2009
(please fill out one form per child)
Student’s Name_____________________________Age_______B-Day__________
Parent/Gardian’s Name(s)______________________________________________
Mailing Address________________________________________________________
City___________________________________State________Zip_________________
Phone Number(s)HOME_________________________________________________
CELL________________________________WORK_____________________________
***************************************************************************************************************
If you are a NEW student to Dance Dynamics, please list any prior training:
*Have you ever taken a dance class before?____________________________
(If yes, then answer the following questions…)
*Where have you danced?_____________________________________________
*How long have you danced?__________________________________________
What styles of dance have you studied?________________________________
Circle which day of the week you are NOT available to take a class?
(please circle no more then one)
Monday(afternoon/evening)
Tuesday(afternoon/evening)
Wednesday(afternoon/evening)
Thursday(afternoon/evening)
What time is the earliest that you would be able
to make it to a Monday-Thursday dance class?__________________________
Are you available for a Saturday Class? __________yes __________no
For ages 3-5 only: Are you available for a Friday morning class?
__________yes __________no
Circle the dance form(s) you would like to register for:
Basic Movement(ballet/tap/tumbling)(ages3-4)(40 min.)
Combination Class(ballet/tap)(ages 4 ½-5)(50 min.)
Combination Class(ballet/tap)(ages 5 ½-6)(1 hr.)
Combination Class(ballet/tap/jazz)(ages 6 ½-7)(1 hr. 15 min.)
Ballet (ages 7 and up)(1 hr.)
Tap(ages 7 and up)(40 min.)
Jazz(ages 7 and up)(must be enrolled in ballet to register for)(1 hr.)
Lyrical(ages 7 and up)(must be enrolled in ballet to register for)(1 hr.)
Clogging(ages 5 and up)(40 min.)
Hip Hop(ages 7 and up)(40 min.)
Pom(ages 7 and up)(40 min.)
Theatre Dance(ages 5 and up)(40 min.)
Tumbling(ages 4 and up)(40 min.)
Pointe(invitation only)(must be enrolled in ballet to register for)(40 min.)
Ballet Barre(ages 7 and up)(will not participate in the recital)(40 min.)
Combination Class(stretching & strengthening/turns & leaps)(ages 5-6)(will not participate in the
recital)(40 min.)
Turns & Leaps(ages 7 and up)(will not participate in the recital)(40 min.)
Stretching & Strengthening(7 and up)(will not participate in the recital)(40 min.)
Ballet Intensive(ages 7 and up)(will not participate in the recital)(1hr. 15min.)
Adult Ballet(40 min.)
Adult Tap(40 min.)
Adult Clogging(40 min.)
Adult Hip Hop(40 min.)
PLEASE COMPLETE THIS FORM AND MAIL IT IN WITH YOUR $20 NON-REFUNDABLE
REGISTRATION FEE TO:
Dance Dynamics * 1236 Royal Drive * Papillion, NE 68046 * 402.932.9805
FALL REGISTRATION FORM 2008-2009
(please fill out one form per child)
Student’s Name_____________________________Age_______B-Day__________
Parent/Gardian’s Name(s)______________________________________________
Mailing Address________________________________________________________
City___________________________________State________Zip_________________
Phone Number(s)HOME_________________________________________________
CELL________________________________WORK_____________________________
***************************************************************************************************************
If you are a NEW student to Dance Dynamics, please list any prior training:
*Have you ever taken a dance class before?____________________________
(If yes, then answer the following questions…)
*Where have you danced?_____________________________________________
*How long have you danced?__________________________________________
What styles of dance have you studied?________________________________
Circle which day of the week you are NOT available to take a class?
(please circle no more then one)
Monday(afternoon/evening)
Tuesday(afternoon/evening)
Wednesday(afternoon/evening)
Thursday(afternoon/evening)
What time is the earliest that you would be able
to make it to a Monday-Thursday dance class?__________________________
Are you available for a Saturday Class? __________yes __________no
For ages 3-5 only: Are you available for a Friday morning class?
__________yes __________no
Circle the dance form(s) you would like to register for:
Basic Movement(ballet/tap/tumbling)(ages3-4)(40 min.)
Combination Class(ballet/tap)(ages 4 ½-5)(50 min.)
Combination Class(ballet/tap)(ages 5 ½-6)(1 hr.)
Combination Class(ballet/tap/jazz)(ages 6 ½-7)(1 hr. 15 min.)
Ballet (ages 7 and up)(1 hr.)
Tap(ages 7 and up)(40 min.)
Jazz(ages 7 and up)(must be enrolled in ballet to register for)(1 hr.)
Lyrical(ages 7 and up)(must be enrolled in ballet to register for)(1 hr.)
Clogging(ages 5 and up)(40 min.)
Hip Hop(ages 7 and up)(40 min.)
Pom(ages 7 and up)(40 min.)
Theatre Dance(ages 5 and up)(40 min.)
Tumbling(ages 4 and up)(40 min.)
Pointe(invitation only)(must be enrolled in ballet to register for)(40 min.)
Ballet Barre(ages 7 and up)(will not participate in the recital)(40 min.)
Combination Class(stretching & strengthening/turns & leaps)(ages 5-6)(will not participate in the
recital)(40 min.)
Turns & Leaps(ages 7 and up)(will not participate in the recital)(40 min.)
Stretching & Strengthening(7 and up)(will not participate in the recital)(40 min.)
Ballet Intensive(ages 7 and up)(will not participate in the recital)(1hr. 15min.)
Adult Ballet(40 min.)
Adult Tap(40 min.)
Adult Clogging(40 min.)
Adult Hip Hop(40 min.)
PLEASE COMPLETE THIS FORM AND MAIL IT IN WITH YOUR $20 NON-REFUNDABLE
REGISTRATION FEE TO:
Dance Dynamics * 1236 Royal Drive * Papillion, NE 68046 * 402.932.9805
