Dance Upstairs

Academy of Performing Arts  

 "The Yadkin Valley's Premier Dance School”

336-835-5272 www.danceupstairs.com

2008-2009 Registration Form

q Return Student            q New Student               q Family

Name ____________________________________________________

Age _______ Birth Date  _____/______/______

Parent Name (s) ____________________________________________

Mailing Address ____________________________________________

City ____________________ State ______ Zip ___________________

Home Phone _________________ Alternate Phone ________________

Dancer T-Shirt Size:   XSC    SC   MC   LC   SA   MA   LA   XLA

Do you need to order any Dancewear?  q Yes   q No

Choose Class wish to take:   

Discovery Ballet                Tiny Ballet                       Mini Ballet/Tap                     

Petite Ballet/Tap              Junior Ballet/Tap             Teen Ballet/Tap

 Tumbling                         Jazz/Hip-Hop                 Martial Arts

PLEASE MAIL THIS FORM OR TURN INTO THE OFFICE WITH YOUR                                            $50.00 Individual or $65.00 Family Registration Fee.

Dance Upstairs 246 East Main Street Elkin, NC  28642