5063 River Road North Keizer, OR, 97303 United States

(503) 393-8098

Classic Tap Dance Studio in Keizer, OR. Classes in Tap, Jazz, Hip-Hop, Ballet, and more. Friendly atmosphere and exciting teachers.

Classic Tap Student Registration Form

You can submit your Registration form here online or you can download and print this registration form: Printable Classic Tap Dance Studio Student Registration Form

Studio Policies

Student's Name

First Name

Last Name

Class or classes you're interested in

Guardian First and Last Names

Email Address

Student's Date of Birth

YYYY

Cellphone for Text Messaging

(###)

###

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Home Phone

(###)

###

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Work Phone

(###)

###

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Other Phone

(###)

###

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Emergency Contact Name

Emergency Contact Phone #

(###)

###

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Relationship

Previous Dance Training

Please specify any physical limitations or disabilities which may be affected by a dance or excercise program:

How did you hear about Classic Tap Dance Studio?

Phonebook

Newspaper

Friend

Google, etc.

Other

AGREEMENT: I do agree that I am responsible for any and all debts incurred by the above named student at Classic Tap Dance Studio. I accept the tuition and payment policies as stated by Classic Tap (detailed under Tuition & Policies/Dress Code tabs).

AGREE

DISAGREE

Address

Mailing Address of Parent/Guardian

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country