First Name:* Last:

Parents name:* Birthdate: Age:

Home Phone # Cell Phone #:

Do you receive text messaging? Yes No

Address:

City: State: Postal Code:

Email:*

* = Required items

Please select the class(es) you are enrolling in:

Monday
	1:00 - 3:00 Charming Camp July 6-8 age 6-12 -
	2:00 - 4:00 K-Pop Camp June 22-24 -
	3:30 - 5:30 Frozen Camp July 6-8 age 3-5 -
	4:00 - 6:00 K-Pop Camp June 22-24 -
	4:00 - 6:00 Barbie Camp June 15-17 age 3-5 -
	4:00 - 5:00 Preschool Combo -
	4:00 - 6:00 Princess Camp June 8-10 age 3-5 -
	5:00 - 5:30 Tiny Tots age 2 -
	5:30 - 6:30 Combo ages 5-6 -
	5:30 - 6:30 Preschool ages 3-4 -
	6:30 - : Starz Pom Squad -
	6:30 - 7:30 Combo ages 7-9 -
Tuesday
	4:00 - 5:00 Preschool ages 3-4 -
	5:00 - 6:00 Preschool ages 3-4 -
	5:00 - 6:00 Combo ages K5 -
	6:00 - 7:00 Combo age 6-7 -
	6:00 - 7:00 Combo 8-9 -
	7:00 - 7:45 Boys Hiphop -
	7:00 - 7:30 Hiphop ages 5-9 -
	7:00 - 8:15 Revolution -
Wednesday
	4:00 - 5:00 Jazz/ Contemporary 9-11 -
	5:00 - 5:30 Hiphop 9-11 -
	5:30 - 6:45 Combo 6-8 -
	5:30 - 6:30 Preschool Combo Ballet/Tap/Tumbling -
Thursday
	4:00 - 5:15 B/T/J ages 9-10 -
	5:30 - 6:30 Preschool Combo -
	6:00 - 6:30 Tiny Tots age 2 -
	6:30 - 7:15 Boys Hiphop -
	6:30 - 8:00 J/L/HH age 12-14 -
	6:30 - 7:00 HIphop ages 5-8 -
	7:00 - 7:45 Hiphop ages 9-12 -

Monday
	1:00 - 3:00 Charming Camp July 6-8 age 6-12 -
	2:00 - 4:00 K-Pop Camp June 22-24 -
	3:30 - 5:30 Frozen Camp July 6-8 age 3-5 -
	4:00 - 6:00 K-Pop Camp June 22-24 -
	4:00 - 6:00 Barbie Camp June 15-17 age 3-5 -
	4:00 - 5:00 Preschool Combo -
	4:00 - 6:00 Princess Camp June 8-10 age 3-5 -
	5:00 - 5:30 Tiny Tots age 2 -
	5:30 - 6:30 Combo ages 5-6 -
	5:30 - 6:30 Preschool ages 3-4 -
	6:30 - : Starz Pom Squad -
	6:30 - 7:30 Combo ages 7-9 -
Tuesday
	4:00 - 5:00 Preschool ages 3-4 -
	5:00 - 6:00 Preschool ages 3-4 -
	5:00 - 6:00 Combo ages K5 -
	6:00 - 7:00 Combo age 6-7 -
	6:00 - 7:00 Combo 8-9 -
	7:00 - 7:45 Boys Hiphop -
	7:00 - 7:30 Hiphop ages 5-9 -
	7:00 - 8:15 Revolution -
Wednesday
	4:00 - 5:00 Jazz/ Contemporary 9-11 -
	5:00 - 5:30 Hiphop 9-11 -
	5:30 - 6:45 Combo 6-8 -
	5:30 - 6:30 Preschool Combo Ballet/Tap/Tumbling -
Thursday
	4:00 - 5:15 B/T/J ages 9-10 -
	5:30 - 6:30 Preschool Combo -
	6:00 - 6:30 Tiny Tots age 2 -
	6:30 - 7:15 Boys Hiphop -
	6:30 - 8:00 J/L/HH age 12-14 -
	6:30 - 7:00 HIphop ages 5-8 -
	7:00 - 7:45 Hiphop ages 9-12 -

Parent/Guardian name: Date:

DANCE ARTS STUDIO
401 Hwy 11 North
Ellisville, Mississippi 39437