Encore Centre for Dance
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Registration

Registration is currently underway.  To secure enrollment, please visit the studio or fill out our online registration form, below.

A non-refundable registration fee of $35 for the first child, and $20 for each additional sibling is required upon enrollment.

If you have any questions, please call us at (972) 294-4000, stop by, or send an e-mail to Registration@EncoreCentreForDance.com.

Please see our current schedule for information on class times.  Classes are subject to availability and a minimum number of students.

Sincerely,

Kim-Lan V. Carlson,
Owner & Executive Director

(972) 294-4000


Student Information
First Name: Last Name: Date of Birth: Sex:
Address: City: State: Zip:
Phone: Email Address:
Name of Public/Private School Attending: Grade:
Class(es) Desired:
Pre-Dance/CM Ballet Tap Jazz Hip Hop Lyrical Dance Team Company
Days & Times Requested:

Mon

Tue

Wed

Thu

Fri

Sat

AM PM AM PM AM PM AM PM AM PM AM PM
Parent Information
Mother
First Name: Last Name:
Home Phone:
Work Phone:
Cell Phone:
E-Mail Address:
I am interested in:
Parent Advisory Council Volunteering
Father
First Name: Last Name:
Home Phone:
Work Phone:
Cell Phone:
E-Mail Address:
I am interested in:
Parent Advisory Council Volunteering
Emergency Contact Information
First Name: Last Name: Relationship to Student:
Address: City: State: Zip:
Home Phone: Work Phone:
Medical Information
Physician's Name: Phone:
Additional Information

© 2010 Encore Centre for Dance, LLC. All rights reserved.