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Registration and Tuition

for Summer 2012 - Registrations due June 4


Registration



Tuition & Fees





Registration Form Current Student
New Student
Parent/Guardian
Last Name First Name
Student Information
Student Last Name Student First Name
Birth date School
Home Address City
State Zip
Please include area code for all phone numbers.
Home Work
Cell E-mail


Class Selection
See our schedule for class names. If uncertain please submit questions and we will assist you.

Jumping Jacks - Wednesday
(age 3)
Jumping Jacks - Thursday
(age 3)
Pre-dance - Tuesday
(age 4-5)
Pre-dance - Thursday
(age 4-5)
Intro to Dance - Ballet/Jazz
(grades 1-3)
Intro to Dance - Ballet/Tap
(grades 1-3)
Elementary Ballet - Lyrical
(grades 1-3 w/ exp)
Elementary Ballet - Modern
(grades 1-3 w/ exp)
Elementary Jazz
(grades 1-3 w/ exp)
Beginning Teen - Ballet
(grades 4-9)
Beginning Teen - Hip Hop
(grades 4-9)
Intermediate Ballet - Modern
(grades 4+ w/ exp)
Intermediate Ballet - Lyrical
(grades 4+ w/ exp)
Intermediate Jazz - Hip Hop
(grades 4+ w/ exp)
Intermediate Jazz - Technique
(grades 4+ w/ exp)
Intermediate Tap
Advanced Ballet - Monday Advanced Ballet - Wednesday
Pointe - Monday Pointe - Wednesday
Advanced Modern Advanced Jazz

You will receive an e-mail or phone call from the studio office to confirm your registration and answer your questions within 48 hours. To complete the registration, you will need to mail in the appropriate fees and tuition. Thank you for your interest in Wilkerson Dance Studio.
This image is used to validate your submission and ensure that automated use of this form is kept to a minimum. Responses are NOT case sensitive and you are not required to put a space between each word. If you are unable to use this tool, please contact the Studio Office or visit us in person to register.