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Name DOB Age
Prev. Studio Experience Yrs at RS1
Prev Exp    
School Attending Grade
Mailing Address
City St zip
Email
Parent/Guardian name
Phone Numbers:    
Work # Cell # Other #
In case of emergency and parent cannot be reached, alternate name and number:
Name Phone #
Medical history

The student is enrolling in the following classes: (check all that apply)

       
Saturday 9:00 - 9:30 am
RhythmSteps I
(Baby Ballet/Creative Movement)
Saturday 12:00 noon RhythmSations Level I Ballet
Saturday 9:30 - 10:00 am RhythmSteps II Pre ballet / Pre Tap Saturday 1:00 pm Hip Hop
Saturday 10:00 am RhythmSteps III Ballet Saturday 2:00-2:30 pm Tap
Saturday 11:00 am RhythmSteps III Jazz Thursday 7:30 pm RhythmSations Level I Jazz
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