Dance Studio Registration Fall 2019

Dance Studio Registration (ages 3-17 years)

* Indicates required field

Student's Name *

First

Last

Student's Age *

Student's Date of Birth (mm/dd/yyyy) *

Class Choice (Please note age ranges for each class.) *

Please use the box below to briefly share student's past dance experience. *

Parent's Name *

First

Last

Parent's Email Address *

Parent's Phone Number *

Name of Emergency Contact *

First

Last

Phone Number of Emergency Contact *

Submit

M-F: 10am - 3pm

270-699-ARTS

director@kentuckyclassicarts.com

237 N. Spalding Avenue, Lebanon, KY 40033
Click here for directions.