Registration

Anita Deprey Studio of Dance & Performing Arts Center

860-569-7276

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Registration

For your child's Level, estimate to the best of your knowledge.

You may look for more information under our

Classes Page, or our Levels page.

As always Miss Anita will be sure to place each child in the right class for their age & ability!

Registration 2012-2013

Parent's Name *

First

Last

Email *

Cell Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Work Phone Number *

Student's Name(s) / Age(s) / Birthdate(s) / Years with Miss Anita OR Years with another studio *

Pre-School ( 2-4 yrs old ) *

Tap & Ballet Combo class

The Tap & Ballet Combo class, is a 45 minute class!

Level 6 ( 4-6 yrs old ) *

Tap & Ballet Combo class Acro- Gymnastics

The Tap & Ballet Combo class, is a 45 minute class!

Level 5 ( 5-7 yrs old ) *

Acro - Gymnastics Ballet Jazz Tap

Check 2 or 3 and make it a Combo Class!

Level 4 ( 7-10 yrs old ) *

Acro - Gymnastics Ballet Hip Hop Jazz Tap

Level 3 ( 10-13 yrs old ) *

Acro - Gymnastics Ballet Hip Hop Jazz Lyrical Tap Technique

Please note. If you are taking Lyrical, you MUST take Ballet.

Level 2 ( Intermediate / Advanced ) *

Acro - Gymnastics Ballet Contemporary Hip Hop Jazz Lyrical Pre - Pointe Tap Technique

Please note. If you are taking Lyrical OR Contemporary you MUST take Ballet.

Level 1 (Advanced) *

Acro - Gymnastics Ballet Contemporary Hip Hop Jazz Lyrical Pointe Tap Technique

Please note. If you are taking Lyrical OR Contemporary you MUST take Ballet.

Young Adult *

Technique Ballet

This class is an Intermediate/Advanced class for Young Adults over the age of 18

Adult / Recreational *

Ballet Jazz Tap

How did you hear about my Studio? *

Already a Student of Miss Anita! Internet Search Friend Newspaper Other

If Other please specify: *

Type of Registration *

Your Registration Fee is due immediately following the submission of your Registration form.

Additional Comments, Concerns or Specifications for Miss Anita *

Submit Registration

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Where learning is fun & dance comes from the heart