Coronado Academy of Dance - Register Online

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Register Online:

Student Name:
(Required)

DOB:

Age:

New Student:

or
Returning Student:

Note: If you are a previous student, you only need to fill in your name and the classes you are interested in below. Thank you.

Address:

City:

State:

Zip:

Student Phone:

School Attending:

Grade:

Parent/
Guardian Name:

Fax #:

Email:
(Required)

If address is different from student, please list your current address here:

If phone number is different from student, please list current phone number here:

Mother's Info:

Work Number:

Home:

Mobile:

Father's Info:

Work Number:

Home:

Mobile:

Which class(es) are you interested in?

MONDAY

2:00 - 2:45 Preschool 1

2:45 - 3:45 Tap/Jazz 2

3:45 - 4:30 Tap 3

4:30 - 5:15 Jazz 3

5:15 - 6:00 Lyrical A

6:00 - 7:00 Lyrical B

7:00 - 8:00 Jazz 6

TUESDAY

2:30 - 3:30 Preschool 2

3:30 - 4:30 Ballet 2

4:30 - 5:15 Hip Hop A

5:15 - 6:45 Ballet 5

6:45 - 7:45 Modern/Contemp.

WEDNESDAY

12:30 - 1:15 Sports Cond. For Little Ones

1:15 - 2:15 Preschool 2

2:15 - 3:00 Preschool 1

3:00 - 4:15 Intro to Styles

4:15 - 5:15 Ballet 3

5:15 - 6:30 Ballet 4 & 5

6:30 - 7:00 RSVD PVT

7:00 - 8:00 Teen Hip Hop

THURSDAY

10:30 - 11:00 Dance Fun

11:00 - 11:45 Preschool 1

2:30 - 3:30 Preschool 2

3:30 - 4:15 Tap 4

4:15 - 5:00 Jazz 4

5:00 - 6:00 Tap 5

6:00 - 7:00 Jazz 5

7:00 - 8:00 Tap 6

FRIDAY

9:30 - 10:00 Dance Fun

10:00 - 10:45 Preschool 1

2:30 - 3:30 Preschool 2

3:30 - 4:30 Ballet 4

4:30 - 5:30 Hip Hop B

SATURDAY

9:30 - 10:15 Adult Tap

10:15 - 11:15 Production

11:15 - 12:30 Ballet 5

12:30 - 1:30 Musical Theater

If your child has any health problems or learning disabilities we need to be aware of, please explain:

Where did you hear about us?

Date:

Please read our Studio Policies:
I have read and agree to abide by the studio policies of Coronado Academy of Dance.

A reminder: If you have two or more dancers, this form must be filled out for each dancer.