5364 State Hwy. 51 • West Burlington, NY 13482 • 607-376-7876
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Online Summer Registration Form

Please complete the Online Registration Form below.

After completing and submitting this form, we will have
one of our qualified staff confirm your scheduled classes.

Parent/Guardian:*
Address:*
City, State, Zip:*
Phone:*    Cell Phone:  
Email:*
Emergency Contact:*
Phone:*    Cell Phone:  
How did you hear of us? Post Card    Newspaper    Word of Mouth
  Other: 

Complete the following information for each student.

Student 1:
Age:    Birth Date:  
Camp Enrollment: Musical Theatre Camp†
Acrobatic Camp†    Voice Camp†
Class Enrollment: Pointe    Pre-Dance    Ballet    Adult Tap
Acrobatics    Ballet and Tap Combo
Stretch, Leaps and Turns    Contemporary
Lyrical    Jazz    Mommy and Me
Adult Stretch and Strengthen
Solo or Duo/Trio:
 
Student 2:
Age:    Birth Date:  
Camp Enrollment: Musical Theatre Camp†
Acrobatic Camp†    Voice Camp†
Class Enrollment: Pointe    Pre-Dance    Ballet    Adult Tap
Acrobatics    Ballet and Tap Combo
Stretch, Leaps and Turns    Contemporary
Lyrical    Jazz    Mommy and Me
Adult Stretch and Strengthen
Solo or Duo/Trio:
 
Student 3:
Age:    Birth Date:  
Camp Enrollment: Musical Theatre Camp†
Acrobatic Camp†    Voice Camp†
Class Enrollment: Pointe    Pre-Dance    Ballet    Adult Tap
Acrobatics    Ballet and Tap Combo
Stretch, Leaps and Turns    Contemporary
Lyrical    Jazz    Mommy and Me
Adult Stretch and Strengthen
Solo or Duo/Trio:

If you have any questions, or if you or your children have any special needs we should know about, please list them in the comments box below.

† Please list T-Shirt sizes in the comments box below for students registered in Summer Camps - Deadline for T-Shirt orders is June 1st.

Comments:
 
I assume all financial responsibilities for the above student(s) at
Otsego School of Dance and Performing Arts I agree*
School Policies: View and Read I agree*
 
 

After submitting registration form you will receive an email verifying class days and times and an invoice. Once payment is received, the student will be fully registered for summer sessions. If you do not receive an email within 24-48 hours, please call the studio at 607-376-7876.

Your IP Address 52.14.253.170 has been logged to prevent spam
 

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