Registration

Tonya's Academy of Dance

A $15 registration fee is due by May 2oth to secure your child a spot for the next dance season. After May 20th the registration fee
will be $20 and registration will open to the public and filled on a first come first serve basis. Some of our classes fill up quickly so
make sure you register by this date. Registration forms will not be accepted without the registration fee.

Registration

Your name:

Student's Name:

Your email address:

Your phone number:

Mailing Address:

Date of Birth

Age on September 1st of this year

Grade in school this fall

Mother's Name
Home Phone
Work Phone

Father's Name
Home Phone
Work Phone

Emergency Contact Name and Telephone

How many years have you taken the following:

Jazz

Ballet

Pointe

Tap

Lyrical

Acro

Modern

Jazz/Acro

Hip Hop

Cheerleading

Clogging

Please check the following classes you wish to be enrolled in: