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Register

Please fill out this annual, one-time registration form. After the first month a monthly invoice will be sent out to you via email.

Thank you!

Annual Student Registration Form

Student Registration Form

Dancer's First and Last Name

Guardian's First and Last Name

Email

Full Address

Guardian's First and Last Name

Dancer's Full Birth Date

Phone Number

Class Options

Please select your classes from the drop down menus below.

Select A Class

Select A Class

Select A Class

Select A Class

Select A Class

Thanks for submitting!

Liability Waiver

Student Release Form

Studio Liability Waiver & Photo Release Form

I agree to the terms & conditions

View terms & conditions

Photo Release

View image release form

Your Signature

Thanks for submitting!

Payment

Tuition Fee

Class Payment

Select an item ($)

Summer Class Card - $100

Dance for Actors Workshop - $150

One Class (45 Min a Week) - $70

One Class (1 Hour a Week) - $90

Two Classes (2 Hours a Week) - $150

Three Classes (3 Hours a Week) - $220

Four Classes (4 Hours a Week) - $290

Five Classes (5 Hours a Week) - $390

1 Hour Private Class - $75

1 Hour Semi-Private Class - $180

Thanks for submitting!

© 2023 by Breakthrough Studio. Anakarina Swanson

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