STEP 1: DANCER INFORMATION

DANCER FIRST NAME:

LAST NAME:

BIRTHDATE:

AGE:

Grade:

Address:

CITY:

STATE:

ZIP:

PARENTS' / GUARDIAN NAME:

PHONE NUMBER:

EMAIL ADDRESS:

Medical Conditions / Food Allergies:

Emergency Contact:

Emergency Number:

STEP 2: CHOOSE YOUR CLASSES

select classes from the list below and then click the "register" button at the bottom. If a class you are wanting is full, please contact us about being put on our waitlist.

TUESDAY

4:30-5:15pm - Pom Technique/Hip Hop Tricks (Weekly Specialty Class)
5:20-6:10pm - Intermediate Hip Hop
6:15-7:00pm - Beginner Jazz

WEDNESDAY

3:30-4:20pm - Advanced
4:30-5:20pm - Advanced Jazz
5:25-6:10pm - Beginner Hip Hop
6:15-7:05pm - Intermediate Jazz
7:10-8:00pm - Intermediate Pom

THURSDAY

3:30-4:20pm - Intermediate Hip Hop (Weekly Specialty Class)
4:30-5:20pm - Advanced Hip Hop
5:25-6:15pm - Advanced Pom
6:20-7:05pm - Beginner Pom
7:10-7:55pm - Beginner Hip Hop

By checking this box, I state that I have read, and agree with, the policies of Dance By Mallory that are stated.