First Name:* Last:

Parents name:* Birthdate: Age:

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

Monday
	5:00 - 5:30 Tiny Tots age 2 - FULL
	5:30 - 6:30 Combo ages 5-6 - FULL
	5:30 - 6:30 Preschool ages 3-4 - FULL
	6:30 - 7:30 Combo ages 8-9 -
Tuesday
	4:00 - 5:00 Preschool ages 3-4 -
	5:00 - 6:00 Combo ages K5 -
	5:00 - 6:00 Preschool ages 3-4 -
	6:00 - 7:00 Combo 8-10 -
	6:00 - 7:00 Combo age 6-7 - FULL
	7:00 - 8:15 Revolution -
	7:00 - 7:15 Hiphop ages 6-9 -
Wednesday
	4:00 - 5:00 Jazz/ Contemporary 10-12 -
	5:00 - 5:30 Hiphop age 10-12 -
	5:00 - 6:15 Jazz/Contemporary/ Hiphop age 12 & up -
	5:30 - 6:00 Tiny Tots age 2 -
	5:30 - 6:30 Preschool Combo Ballet/Tap/Tumbling -
Thursday
	5:30 - 6:30 Preschool Combo -
	6:00 - 6:30 Tiny Tots age 2 - FULL
	6:30 - 7:00 HIphop ages 5-8 -
	6:30 - 7:30 Ballet tap jazz age 5-7 -

Monday
	5:00 - 5:30 Tiny Tots age 2 - FULL
	5:30 - 6:30 Combo ages 5-6 - FULL
	5:30 - 6:30 Preschool ages 3-4 - FULL
	6:30 - 7:30 Combo ages 8-9 -
Tuesday
	4:00 - 5:00 Preschool ages 3-4 -
	5:00 - 6:00 Combo ages K5 -
	5:00 - 6:00 Preschool ages 3-4 -
	6:00 - 7:00 Combo 8-10 -
	6:00 - 7:00 Combo age 6-7 - FULL
	7:00 - 8:15 Revolution -
	7:00 - 7:15 Hiphop ages 6-9 -
Wednesday
	4:00 - 5:00 Jazz/ Contemporary 10-12 -
	5:00 - 5:30 Hiphop age 10-12 -
	5:00 - 6:15 Jazz/Contemporary/ Hiphop age 12 & up -
	5:30 - 6:00 Tiny Tots age 2 -
	5:30 - 6:30 Preschool Combo Ballet/Tap/Tumbling -
Thursday
	5:30 - 6:30 Preschool Combo -
	6:00 - 6:30 Tiny Tots age 2 - FULL
	6:30 - 7:00 HIphop ages 5-8 -
	6:30 - 7:30 Ballet tap jazz age 5-7 -

Parent/Guardian name: Date:

DANCE ARTS STUDIO
401 Hwy 11 North
Ellisville, Mississippi 39437