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: 
 
Choose one of the following in reference to class location.
Studio I prefer my child to take classes at the studio.
Online I prefer my child to take classes online.
 
Choose one of the following in reference to face covering.
Mask I request that my child wear a mask at all times.
No Mask I request that my child does not wear a mask.

Complete the following information for each student.

Student 1:
Age:     Birth Date:  
Class Enrollment: Ballet     Tap     Jazz     Pre-Dance
Modern    K-pop    Lyrical    Acrobatics
Stretch & Strengthen     Choreography
Ballet Repertoire     Pointe Technique
Solo or Duo/Trio:
 
Student 2:
Age:     Birth Date:  
Class Enrollment: Ballet     Tap     Jazz     Pre-Dance
Modern    K-pop    Lyrical    Acrobatics
Stretch & Strengthen     Choreography
Ballet Repertoire     Pointe Technique
Solo or Duo/Trio:
 
Student 3:
Age:     Birth Date:  
Class Enrollment: Ballet     Tap     Jazz     Pre-Dance
Modern    K-pop    Lyrical    Acrobatics
Stretch & Strengthen     Choreography
Ballet Repertoire     Pointe Technique
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.

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.


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