
REGISTRATION
Please print this form out or download it and bring it with you to register your child.....
Student Name:__This page is under construction, we apologise for the inconvienence. Please call the studio at 847-359-3903 or email DANCENFLY@GMAIL.COM for information.__________________________________________________
Birthdate:__________ Age:_______ Male/Female(circle)
Address: _________________________________________________________
City: ________________________State: _______ Zip: _________________
Parent or Guardian Name: ___________________________________________
Signature agreeing to studio rules:_____________________________________
Telephone Home:________________________ Cell:______________________
Email Address: ____________________________________________________
List Classes: _____________________________________________________
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Date:____________Check#:_____________Amount Enclosed:_____________
MAIL OR DROP OFF AT STUDIO WITH FIRST TUITION PAYMENT. YOU CAN ALSO PAY WITH
ZELLE, A CREDIT CARD USING VENMO SEARCH @Bonnie-Lindholm, CHECK OR CASH

Online Registration: https://forms.gle/HCTGxwsy32shnHS68