Registration – Antoinette Casserly School of Dance

Student's Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Date of Birth *

Name of Parent/Guardian *

First

Last

e-Mail Address *

Phone Number *

Class Location *

Previous Dance Experience *

Name of Previous Dance School

Standard Reached

Any allergies/disabilities that the school should be aware of? *

Where did you hear about the class? *

The school sometimes posts pictures of classes on their social media page, please indicate that you are comfortable for your child to appear: *

By checking the box below, I confirm that I have read and agree to the school's terms and conditions: *

General Terms and Conditions

COVID-19 Info, Terms and Conditions

By checking the box below, I confirm that I have read, agree and will abide by the school's COVID-19 terms and conditions: *

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.