Dance Specialties Riverview

2020-2021

*One form per child*

Parent's Name

Phone Number Accept Text Messages

Address

City

Student's Name

Student's Date of Birth

We will do our best to try to accomadate your availability.

Monday

4:30p 5:00p 5:30p 6:00p 6:30p 7:00p 7:30p 8:00p 8:30p

Tuesday

4:30p 5:00p 5:30p 6:00p 6:30p 7:00p 7:30p 8:00p 8:30p

Wednesday

4:30p 5:00p 5:30p 6:00p 6:30p 7:00p 7:30p 8:00p 8:30p

Thursday

4:30p 5:00p 5:30p 6:00p 6:30p 7:00p 7:30p 8:00p 8:30p

Check all that apply

Tap Jazz Ballet Toe Hawaiian Tahitian Poi Balls Hip-Hop

Check all that apply

Message

If you register early we will try to accommodate your families needs and your preferred day.

We'll never share your information with anyone else.