Enrollment Form2018-07-25T00:14:46+00:00

Enrollment Form

Please complete this form and click the "Submit" link at the bottom when you are done. Required fields are marked with '*'. We will call to confirm your enrollment within 24 hours. Thank you!

Studio Location

Class Time

Today's Date*

Student's Name (1)*

Date of Birth*


Student's Name (2)

Date of Birth


Street Address*




Mother's Full Name

Employed By

Mom/Primary Email*

Father's Full Name

Employed By

Dad/Secondary Email*

Home Phone

Mother/Primary Cell

Father/Secondary Cell

Emergency Phone (Other than Home Phone please)*

Allergies (Please list any food or other allergies)

If someone other than the parent is to be billed for lessons, please give the following information:

Person to be billed is

Street Address




How did you hear about our studio?

Attention Parents

Tuition is payable at the first class to register, including a $32.00 (West Chester and Downingtown) $28.00 (Parkesburg) Registration Fee per family, per season. Tuition must be paid each 6 weeks as billed, if pupil is to remain in our school. WE DO NOT GIVE CREDITS OR REFUNDS FOR MISSED LESSONS.

Please check with our office concerning class make-up procedure and class attire for your child. A recital will be held in June for our Dance Pupils, with details coming in January. For our Downingtown Students, we hold both a December and a June Recital, using the same costume for both productions. Your participation is always your choice. We are constantly striving to create the finest learning environment and professional instruction for your child. Thank you!

After you click SEND, the form will return to blank. Do not worry, it is on the way to our office. We will be in touch within 24 hours. Should you not hear from us within 24 hours, do please call 610-692-6144. Thank you for choosing our school!