Registration

Thank you for visiting our website! Jennifer's Academy of Dance Mission is to facilitate each student to build self esteem, self assurance, and a sense of confidence through the art of dance. We look forward to serving you with dance excellence!

REGISTRATION IS JANUARY 1- 31, 2008
Studio: 972-302-4944
missjennifer@jenniferdanceacademy.com

Registration

Jennifer's Academy of Dance
2008 Summer Enrichment Program Registration

Please complete the Registration form below, and the form will be emailed directly to our offices at missjennifer@jenniferdanceacademy.com.
You may also print and fax the form to 866-706-6626. If you have any questions, please feel free to contact us at 972-302-4944.

~Miss Jennifer, Owner and Director of Education

Student
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Guardian or Parent, if student is minor
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Dance Experience
Any previous Dance Experience?
If so, what kind and how many years?
Classes Enrollment
Type of Class:
# of times a week:
Do you have siblings?
Are you interested a scholarship?
Are you interested in auditing for the JAD dance company?
Other Information
Comments:	Enter comments here!
	Please enter in the comments Section whether you want to register for Enrichment I or Enrichment II.