Registration Packet 2021-2022
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2021-2022
Registration Packet
Updated 4.26.2021
To the Parents of LADP,
We know you have many options when investing in your child’s dance education. We thank
you for giving us the opportunity to teach your children and to give each one of them a
quality dance foundation. At LADP, we are devoted to the growth and development of our
students by providing quality and professional instruction. We are committed to providing a
progressive, well-rounded dance education. We recognize each student as an individual and
focus on improving and developing their natural talents and abilities in a friendly, positive
atmosphere. We believe that introducing and enriching your child in dance is a wonderful gift
Kami Moore
Owner & Director – the memories and friendships created, and the benefits received are everlasting. Our
classes not only produce versatile students but also individuals who possess confidence, poise, character, discipline, and
great sportsmanship. We teach our students that through determination, dedication, and hard work all things are
possible and that they should feel proud of their personal achievements and growth made over the years. Our staff
cares about our studio family. We attend workshops, conventions, and conferences every year to ensure that we are
always providing our students with cutting edge technique and choreography and parents with the best customer
service possible. Louisiana Dance Powerhouse is a place of empowerment…motivating and inspiring every student to
SHINE like the star we know they are and to give their absolute BEST in all endeavors!
We welcome back current students and extend a warm welcome to all new students to our growing dance
family. We have a topnotch year planned for you and we are excited to kick off our 15th season! Please read and review
carefully all information disclosed in the packet. Cooperation between teachers, parents, and students will ensure a fun
and productive year. Thank you for your support! We are looking forward to another successful year!
Sincerely,
Kami Moore
LADP is committed to creating a place for our families and dancers to feel safe in.
Provided below are the preventive measures we have put into place. COMBINATION: (Ages 2.5-11 Ballet/Tap/Jazz) (Ages 11+ Contemporary-Lyrical/Tap/Jazz)
Our combination classes provide students with a strong foundation in dance technique while developing
discipline, grace, poise, coordination, strength, flexibility, and enhance the dancer’s creativity, technical, and
performance ability. A separate ballet class is required for all Teen Advanced/Advanced/Elite Dance Company
combo classes (Ballet is the foundation of dance and is required for all upper level classes)! Primary students
perform 2 routines in our annual revue. All other classes perform 3 routines.
HIP HOP: (Ages 3-18)
As one of the most popular forms of dance today, Hip Hop at LADP is a high-energy class teaching student to
express themselves through free style movements to help develop their own sense of style. This is a
performance class and will perform a routine in our annual revue.
CLASSICAL BALLET: (Ages 6-18)
Ballet is the foundation of all dance. This class is offered for students who desire to further their dance training
and technique in classical ballet. This is a performance class and will perform a routine in our annual revue ballet
production.
POINTE: (Ages 11+, at teacher’s discretion)
Designed for students with previous ballet training to utilize previously learned ballet technique and concepts
while working in pointe shoes with a focus on strengthening the feet and ankles. Previous ballet training
required and must be enrolled in Classical Ballet!
CHEER & TUMBLING: (Ages 3-18)
Cheer & Tumbling classes at LADP will train students with the proper technique to excel in the sport of
cheerleading and to prepare students for middle and high school cheerleading in a non-competitive
environment. This class primarily focus on tumbling, jumps, and motions (no stunts). This is a performance class
and will perform a routine in our annual revue.
GRADUATES: LADP provides a graduate program for our students as a testament to years of hard work, training,
and dedication. Graduate Requirements:
1. At least 7 years of dance
2. Enroll in BOTH a combination class and classical ballet during high school (9th-12th Grade)
3. At least 3 years of student teaching, of which 2 of those years must take place during high school (9th-
12th Grade)
4. At least 2 years as a Sugar Dolls Marching Team member, which must take place during high school (9th-
12th Grade)
PRIVATE LESSONS: Private lessons are available. Please contact us at ladancepowerhouse@yahoo.com to
schedule your private lesson today!Class placement is determined according to age and ability. Ages are approximate and for reference only. Adjustments
may be made when necessary. Final decisions about class placement will be made by the teachers. Please feel free to
contact us at ladancepowerhouse@yahoo.com if you are unsure of your child’s class placement or have any questions.
We are more than happy to assist you.
NEW IBERIA SCHEDULE
MONDAYS
Studio 1 Studio 2
4:15-5:15 Elite Company – Mini LTJ (Ages 5+) 4:15-5:15 Primary II BTJ (Ages 5-6)
5:15-5:45 Elite Company – Mini Hip Hop (Ages 5+) 5:15-5:45 Petite Hip Hop (Ages 3-6)
5:45-7:00 Elite Company – Junior LTJ (Ages 9+) 5:45-6:30 Primary I BTJ (Ages 3-4)
7:00-7:30 Elite Company – Junior Hip Hop (Ages 9+) 6:30-7:00 Elite Company – Teen Hip Hop (Ages
13+)
7:00-8:15 Elite Company – Teen LTJ (Ages 13+)
TUESDAYS
Studio 1 (use front entrance) Studio 2
4:15-5:30 Junior Intermediate/Advanced BTJ (Ages 9-11) 4:15-5:30 Teen Advanced LTJ (Ages 11+)
5:30-6:00 Mini Hip Hop (Ages 7-9) 5:30-6:00 Junior Hip Hop (Ages 10-12)
6:00-7:00 Intermediate BTJ (Ages 7-8) 6:00-6:30 Teen Hip Hop (Ages 13+)
6:30-7:45 Advanced LTJ (Ages 13+)
WEDNESDAYS
Studio 1 Studio 2
4:30-5:15 Cheer & Tumbling I (Ages 3-7) 4:15-5:15 Classical Ballet II (Ages 10-13)
5:15-6:00 Classical Ballet I (Ages 6-9) 5:15-6:00 Cheer & Tumbling III (Ages 11+)
6:00-6:30 Pointe (Ages 11+) 6:00-6:45 Cheer & Tumbling II (Ages 8-11)
6:45-8:00 Classical Ballet III (Ages 14+)
*subject to change due to enrollment and staff availability*
LAFAYETTE SCHEDULE
WEDNESDAYS
5:00-5:45 Primary BTJ (Ages 3-5)
5:45-6:15 Petite/Mini Hip Hop (Ages 3-8)
6:15-7:15 Intermediate BTJ (Ages 6-8)
THURSDAYS
4:45-5:30 Cheer & Tumbling (Ages 3+)
5:30-6:30 Junior/Teen Ballet (Ages 9+)
6:30-7:45 Junior/Teen LTJ (Ages 9+)
7:45-8:15 Junior/Teen Hip Hop (Ages 9+)
*subject to change due to enrollment and staff availability****THIS YEAR, LADP WILL CARRY ALL CLASS SUPPLIES (PRACTICE UNIFORM + SHOES) FOR STUDENTS***
An item list with cost will be made available by May 1, 2021
Dress Code will be strictly enforced!
DANCE WEAR
*Cover ups should be worn to and from class*
BTJ & LTJ LADP practice uniform and dance tights. T-shirts and casual shorts are NOT ACCEPTABLE.
Combination Hair should be pulled out of face.
Classes
Hip Hop LADP practice uniform. Given that Hip Hop either comes before or after a combo class and
and the same with Cheer & Tumbling regarding Classical Ballet, Pointe, and Combination
Cheer & Tumbling classes, it is acceptable for dancers to layer up by wearing their Hip Hop & Cheer &
Classes Tumbling practice uniform with their combo and ballet practice uniform underneath. Hair
should be pulled out of face.
Classical Ballet & LADP Ballet leotard. Ballet skirts or black boy shorts are optional. Hair should be pulled out
Pointe of face.
DANCE SHOES
*Dance shoes should not be worn to and from class except for tennis shoes*
Primary BTJ Combo Pink Ballets & Tan Mary Jane Taps.
Classes
Intermediate BTJ Pink Ballets, Tan Mary Jane Taps, & Tan Slip-On Jazz Shoes.
Combo Classes
Junior BTJ, Teen & Flesh-Tone Pirouette Lyrical Shoes, Black Lace Up Tap Shoes, & Tan Slip On Jazz Shoes.
Advanced LTJ Combo
Classes
Hip Hop Classes Tennis shoes. Notice will be given in November about the type of shoes to purchase for
revue performance.
Cheer & Tumbling Classes Cheer shoes. A group order will be placed for students who need cheer shoes in
October.
Classical Ballet & Pink Split Sole Ballet Shoes. Pointe students – pointe shoes (dancers are to get fitted
Pointe Classes and purchase pointe shoes from The Ultimate in Lafayette)
Students are to bring a dance bag to class to hold all dance shoes. Please write name inside shoes to prevent mix ups!
LADP Sugar Babes and Sugar Dolls performs and represents the studio in festival and holiday parades as well as special
events held in Iberia Parish and the Acadiana area. Being a part of the Marching Teams is such a great
experience…dancers grow in their performance skills while creating memories and friendships that will last a lifetime!
Mini Sugar Babes (POM Ages 3-7) Junior Sugar Babes (POM Ages 8-11) Sugar Dolls (MAJORETTE Ages 12-18)
A student must be enrolled in a combination class to enroll in a Marching Team!
Please Note: Marching Teams are offered to both our New Iberia and Lafayette students. However, practices and
rehearsals are held at our New Iberia location for the 2021-2022 season.
Registration is available online.Tuition
Marching Teams will be considered an extra class and will part of your monthly tuition.
Uniforms/Marching Team Accessory Fee
(not included in the revue package)
Upon registration, ½ of uniform/accessory fee is due and the balance is due the 1st day of marching camp.
Marching Team Uniform - $150
Sugar Babes will be getting new uniforms this year!
Sugar Dolls will have the same uniform used in the past!
Marching Team Accessories:
Sugar Babes Poms - $50 Earrings - $15 Hair Piece - $15 Shoes - $50 (team order placed during Marching Camp)
Marching Camp
August 3, 4, & 5 (Tuesday-Thursday)
5:00-6:00 Mini Sugar Babes
6:00-7:15 Junior Sugar Babes
5:30-7:00 Sugar Dolls
The Elite Dance Company provides dedicated students Ages 5-18 with the opportunity to advance and explore their
talent outside of the studio by traveling to various dance conventions and competitions. All prospective members are
evaluated and selected based on their attitude, work ethic, technique, and overall performance potential.
Please Note: Elite Dance Company is offered to both our New Iberia & Lafayette students. Lafayette students interested
in joining Elite please contact the studio.
Elite Combination & Hip-Hop Classes
Elite Dancers will have their own Company combo and hip-hop classes.
This means they do not have to enroll in an additional combo/hip hop class.
Elite competition dances will also be their revue dances.
This will save on cost by not having to buy extra costumes and reduce elite tuition.
Elite Classes & Rehearsals
Company ages may vary
Combo + Hip Hop Classes are held on Mondays (see class schedule)
Elite Rehearsals will be held on Saturdays – schedule TBA
Summary of Elite Tuition & Cost
Elite Mini Junior Teen Mini, Junior, Teen
Teams Company Company Company Company Hip Hop
Revue Dances 3 4 4 1
Dances Competing 1-2 2-3 2-3 1
Required Classes 1. Elite Mini BTJ 1. Elite Junior LTJ 1. Elite Teen LTJ Optional Class:
2. Elite Rehearsals 2. Classical Ballet II 2. Classical Ballet IV No additional
3. Elite Rehearsals 3. Elite Rehearsals rehearsal days
Tuition $810 $1,035 $1,035 $225
9 payments of $90 9 payments of $115 9 payments of $115 9 payments of $25
Costumes included in included in included in included in
revue package revue package revue package revue packageAdd-On Classes (Optional) 1. Elite Mini Hip Hop 1. Elite Junior Hip Hop 1. Elite Teen Hip Hop
2. Classical Ballet 2. Cheer & Tumbling 2. Pointe
3. Cheer & Tumbling 3. Marching Teams 3. Cheer & Tumbling
4. Marching Teams 4. Marching Teams
Competition/Convention $340 $615 $615 $185
Participation & Entry Fees (approx.) (approx.) (approx.) (approx.)
(estimated from last year)
*more performance opportunities (solos, duet, trios, small groups, etc.) are available to select dancers at an
additional cost
* fundraising opportunities are available throughout the season
Company Auditions
May 19 & 20 Cost - $30
Ages 5-8 5:00-6:00 Ages 9-12 6:00-7:00 Ages 13+ 7:00-8:00
There will be one audition. Ages are for auditions only. Company ages may vary.
Mandatory Parent Meeting – May 17 @ 6:00 (***New Date***)
Parent and child must attend
Elite Summer Dance
June 9 – July 14 Cost - $150
Mini Elite 3:00-5:30 Junior Elite 2:30-5:00 Teen Elite 12:30-3:00
Registration Fee
Registration Fee - $75 individual/$95 family *Early Bird Rate* - $55 individual/$75 family (on or before June 13)
Incentives
Siblings discount - Families with siblings enrolled receive $5 off the 2nd child’s monthly tuition.
10% tuition discount - Pay tuition/fees in full at time of registration.
Tuition Rates
1 Class - $450/year (9 payments of $50)
2 Classes - $675/year (9 payments of $75)
3 Classes - $900/year (9 payments of $100)
4 Classes - $1,035/year (9 payments of $115)
5 Classes - $1,125/year (9 payments of $125)
6 Classes - $1,215/year (9 payments of $135)
Private Lessons - $25 (½ hour) $50 (1 hour)
Revue Package
***Includes***
Revue Costumes Revue Building Rental Fees Revue Program Revue DVD
Revue Finale Shirt Complimentary Revue Tickets Revue Backstage Passes Awards Ceremony
Music/Lighting Technician Stage Backdrop, props, & sets
Cost will vary by the total number of dances a student perform in the revue
Packages are divided into 4 payments (August-November)
A $80 credit (4 installments of $20) will be applied to current students who already have a cheer uniform.
A $54 credit (4 installments of $13.50) will be applied to each additional sibling’s revue package since only 1 DVD
will be given per family.
Revue package + 1 costume - $312 (4 payments of $78)
Revue package + 2 costumes - $392 (4 payments of $98)
Revue package + 3 costumes - $472 (4 payments of $118)
Revue package + 4 costumes - $552 (4 payments of $138)Revue package + 5 costumes - $632 (4 payments of $158)
Revue package + 6 costumes - $712 (4 payments of $178)
Payment Schedule
Breakdown of what is due by the month
Please Note: If you register in August, 2 tuition installment payments along with the registration fee will be due.
Tuition & Fees Due Date
st
Registration fee + 1 tuition installment Upon Registration
2nd tuition installment + 1st revue fee installment August 1st
3rd tuition installment + 2nd revue fee installment September 1st
th rd
4 tuition installment + 3 revue fee installment October 1st
5th tuition installment + 4th revue fee installment November 1st
th th th th st
6 , 7 , 8 , & 9 tuition installments 1 of the month from December – March
Online Enrollment is NOW Open!
Upon enrolling online, policies (participation agreement) will have to be agreed upon via electronic signature AND
registration fee + 1st tuition payment must be submitted for registration to be complete.
In-House Enrollment!
Saturdays May 15 & June 12
Lafayette @ 10:00-1:00
New Iberia @ 2:00-5:00
Come and meet the staff, ask questions, and register for classes.
Upon enrolling, signed policies (participation agreement) along with registration fee + 1st tuition payment
must be submitted for registration to be complete.
August 9, 2021 First Day of Classes
September 6, 2021 Labor Day (LADP Closed)
November 22-26, 2021 Thanksgiving Holidays (LADP Closed)
December 20, 2021-December 31, 2021 Christmas Holidays – (LADP Closed)
January 2022 LADP Picture Day – (Exact Date – TBA)
January 17, 2022 MLK Day (LADP Closed)
February 28-March 4, 2022 Mardi Gras Break – (LADP Closed)
April 15-22, 2022 Easter Holiday – (LADP Open for revue week!!!)
April 22-24, 2021 Class Practices at the Sugarcane Festival Building
April 24, 2022 Dress Rehearsal at the Sugarcane Festival Building
April 23, 2022 LADP 15th Anniversary Dance Revue
LADP CONTACT INFORMATION
Address: New Iberia Location: 902 Jefferson Terrace Blvd, Suite A, New Iberia, LA 70560
Lafayette Location: 504 Guilbeau Road, Suite C, Lafayette LA, 70506
Phone: (337) 365-8852
Email: ladancepowerhouse@yahoo.com
Website: http://www.ladancepowerhouse.net
Administrative Staff: Kami Moore (Owner/Artistic Director)
Brenda Moore (New Iberia Office Manager)Ajia Collins (Lafayette Office Manager)
1. ACCOUNT MANAGEMENT & PAYMENTS: ________ (Initials)
All accounts are managed and accessible online through our secure customer portal for parents to view and manage
accounts. No printed statements will be issued. Tuition and fees will post to accounts and are due on the 1st of each month
(August-March). After the 10th of each month, a $15 late fee is applied to accounts with outstanding balances. A student
may be withheld from participating in class until your outstanding balance is paid. A $25 service fee is charged on all
insufficient funds. Payment methods accepted: Cash, Check, Money Orders, and Credits Cards (online only).
2. COSTUMES: ________ (Initials)
LADP order revue costumes in November 2021. Your account must be in current standing (zero balance) on or before
November 10, 2020 for LADP to order your child(ren)’s costumes. A $15 service charge per costume will be assessed for
costumes ordered after LADP’s initial order has been placed to compensate for extra shipping and ordering costs incurred.
At the time costumes are distributed at LADP, accounts must be in current standing (zero balance) for your child(ren) to
receive their costumes.
3. WITHDRAWAL FROM CLASS: ________ (Initials)
Students have from August 9, 2021 to September 30, 2021 to decide whether he or she wants to continue taking a class. In
the event a student decides to withdraw from a class, parent/guardian must do so in writing, no phone calls and/or emails
accepted. Your withdrawal letter must be turned into the office to close out your account and to prevent future billing on
or before September 30, 2021. Accounts will remain open and active until the date the withdrawal letter is received by the
office. You will still be responsible to pay in full at the time of withdrawal any accrued balance from the date of registration
to September 30, 2021. Effective October 1, 2021, you will be responsible to pay out your balance for the remainder of the
season from October 1, 2021 to April 23, 2022, reason being that as of October 1, 2021, no one can enroll to fill their child’s
spot.
4. REFUNDS: ________ (Initials)
I understand that all money paid to L.A. Dance Powerhouse, LLC. is non-refundable beginning with the first payment
received at registration. Therefore, if I withdraw my child from class, then all monies paid as of that time is forfeited and no
costumes will be issued. In the event of an act of god or natural hazard that is beyond human control resulting in
cancelation of any LADP events including but not limited to the dance revue, dance conventions and competitions, etc. no
refunds will be issued. If credits are available, they will be charged to accounts.
5. CLASSES & ATTENDANCE: ________ (Initials)
Classes will run from August-April. All holidays and emergency days recognized by Iberia Parish School Board will also be
kept by LADP, unless you receive notice stating otherwise. My child(ren)’s progress is directly associated to his or her
attendance, therefore regular attendance is necessary. The teacher will not slow down the class progress for anyone who
misses frequently. Excused absences are medical/doctor excuses and a death in the family. 5 unexcused absences may
result in your child(ren) not allowed to perform in the revue on April 23, 2022 at the teacher’s discretion. Student’s
attendance may be tracked in the parent portal. Excessive tardiness will result in an unexcused absence. If your child(ren)
must sit out and cannot participate during a class for any reason, they must provide their teacher with a written letter
stating a reason why they cannot participate in class. If student will be absent from class, it is your responsibility to
communicate this to the studio.
6. DRESS CODE: ________ (Initials)
Students must follow the dress code set forth in the registration packet for it sets an attitude of attentiveness, discipline,
and respect to the teacher, his or her classmates, and to the positive, structured-learning environment L.A. Dance
Powerhouse strives to maintain for all students. Street clothes and school uniforms are not acceptable and should not be
worn at any time to class.
7. STUDENT PICK UP AND DROP OFF: ________ (Initials)
Students should arrive No earlier than 10 minutes prior to the start of class and should be picked up on time. Excessive late
pick ups will result in a $5 charge to your account. No Students should wait outside of the building. For the safety andconcern of our students, parents/guardian is responsible to come inside to pick up their child. LADP staff will not allow any
student to roam the parking lot or will we bring students to vehicles.
8. COMMUNICATIONS: ________ (Initials)
A valid email address is required to receive communications, since all communication and notices are sent via email. No
paper handouts will be given out. All concerns and issues should be addressed with the LADP administration and staff by
email or scheduling an appointment.
9. PARENT/GUARDIAN INVOLVMENT: ________ (Initials)
It is your responsibility to keep up with and be aware of the studio news as it pertains to his or her child(ren) and classes.
10. CLASSROOM POLICY: ________ (Initials)
a. Cell Phone Use: Students are not allowed to use his or her cell phone while class is in session.
b. Chewing Gum & Food: NO food or chewing gum is allowed in the dance rooms, only drinks. Food/snacks are
limited to the lobby/waiting area.
11. CONDUCT & BEHAVIOR: ________ (Initials)
LADP provides a positive-upbeat studio environment. Absolutely no negativity, disrespect, or misconduct will be tolerated
by anyone on LADP premises or at any LADP function or event. Such behavior may result in removal or dismissal from LADP
and no refunds will be given out.
12. USE OF LADP LOGO & NAME: ________ (Initials)
I understand that I am not allowed to design, print, monogram, or use the LADP logo and names “LADP”, “LA Dance
Powerhouse”, “Louisiana Dance Powerhouse” without given express consent by the Owner/Director to do so.
13. MEDIA RELEASE: ________ (Initials)
I give permission for my child(ren) to be photographed and/or videoed for advertisement and/or marketing purposes as
deemed appropriate of any LADP activity for publicity surrounding participation in classes, events, or functions at LADP.
14. MEDICAL RELEASE: ________ (Initials)
I understand the classes involves physical activity and the chance of injury does exist. My child(ren) is in good health and
can participate in this type of activity. I hereby release and hold harmless LADP, its staff, and volunteers from liability
whatsoever.
15. COVID-19 RELEASE: ________ (Initials)
The novel coronavirus, COVID-19, has been declared a world-wide pandemic by the World Health Organization. L.A. Dance
Powerhouse, LLC. has put in place preventative measures to reduce the spread of COVID-19. However, LADP cannot
guarantee that you or your child(ren) will not become infected with COVID-19. I acknowledge I have read and agree to
comply with LADP "Keeping our Families & Dancers Safe" guidelines. I grant permission for my child(ren) to participate in
classes inside L.A. Dance Powerhouse, LLC. and events held outside of L.A. Dance Powerhouse, LLC. I voluntarily assume all
risk associated with my child(ren)'s participation with L.A. Dance Powerhouse, LLC. and release L.A. Dance Powerhouse, LLC.
from any liability relating to COVID-19.
I give my child(ren)________________________________ permission to participate in classes enrolled at LADP.
I have read the 2021-2022 policies in its entirety and agree to the terms.
________________________________ (Parent/Guardian Signature) ____________________ (Date)Louisiana dance powerhouse
2021-2022 Registration form
Which studio location are you enrolling? (Please Circle) Lafayette or New Iberia
STUDENT INFORMATION
Student Name:____________________________Age:_____ Date of Birth:__________Grade Level:_____Shirt Size:____
School Attending:______________________The 2021-2022 Season will be my_____year of dance. (This is for awards at
the end of the season. Accuracy is your responsibility.) If your child has any allergies and/or medical conditions, please
list them below:____________________________________________________________________________________
I would like to register my child for one or more of the following classes:
___ Ballet, Tap, Jazz Combo Class (Ages +) ___ Lyrical, Tap, Jazz Combo Class (Teen/Advanced Classes)
***This class must enroll in a separate Classical Ballet class!
___ Classical Ballet (Ages 6+) ___ Cheer & Tumbling (Ages 4+)
___ Hip Hop (Ages 4+) ___ Pointe (Ages 11+, at teacher’s discretion)
___ Elite Dance Company Competition Team (Ages 5+)
*** If you’re interested in Elite, refer to the
registration packet for classes!
***Please fill this section if you have more than one child enrolling***
Student Name:____________________________Age:_____ Date of Birth:__________Grade Level:_____Shirt Size:____
School Attending:______________________The 2021-2022 Season will be my_____year of dance. (This is for awards at
the end of the season. Accuracy is your responsibility.) If your child has any allergies and/or medical conditions, please
list them below:____________________________________________________________________________________
I would like to register my child for one or more of the following classes:
___ Ballet, Tap, Jazz Combo Class (Ages 3+) ___ Lyrical, Tap, Jazz Combo Class (Teen/Advanced Ages)
***This class must enroll in a separate Classical Ballet class!
___ Classical Ballet (Ages 6+) ___ Cheer & Tumbling (Ages 4+)
___ Hip Hop (Ages 4+) ___ Pointe (Ages 11+, at teacher’s discretion)
___ Elite Dance Company Competition Team (Ages 5+)
*** If you’re interested in Elite, refer to the
registration packet for classes!
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name:_______________________________Email:__________________________ (required)
Address:_________________________________________________________(Street Address)(City)(Zip Code)
Home Phone:__________________Work Phone:____________________Cell Phone:_____________________
Emergency Contact Person:_____________________________________Relationship:____________________
Emergency Contact Person Home Phone:_________________________Cell Phone:_____________________You can also read
