Class Registration

Thank you for using our new web-based registration form.    Your enrollment will not be confirmed until we review/ approve the levels requested and receive your first month’s tuition.  At that time we will add you to the class list.

 Please mail your tuition (plus registration fee, if applicable) to the Studio at the address listed below.  Thank You!

  • Student Name*full name
    0
  • Birth Date*
    1
  • School Grade Level*
    2
  • Address*Street
    3
  • City*
    4
  • State*full name
    5
  • Zip*
    6
  • Home Phone*
    7
  • Cell Phone*
    8
  • Email*a valid email address
    9
  • # Parent or Guardian Name*full name
    10
  • Work Number*
    11
  • Place/Profession*
    12
  • # 2 Parent or Guardian Name*full name
    13
  • Work Number*full name
    14
  • Place/Professsion*
    15
  • Emergency Contact Name/Phone*
    16
  • 17
  • Medical Conditions/Injuries we should know about*
    18
  • Class Desired*
    19
  • Day & Time*
    20
  • Class Desired*
    21
  • Day & Time*
    22
  • Class Desired*
    23
  • Day & Time*
    24
  • 25
  • Total Class Hours per Week*
    26
  • Trimester Tuition*
    27
  • * a 5% discount is given if the entire year is paid in full by October 30th
    28
  • Registration Fee: $30.00 per person or $35.00 per Family Note: you may pay the registration fee with your tuition payment.
    29
  • Amount to be Mailed*
    30
  • Personal Injury: Black Hills Dance Centre takes every reasonable precaution but assumes no responsibility for personal injury. Advertising: We reserve the right to use recital images for promotional purposes.
    31
  • 32
  • Name*full name
    33
  • Comments*something more
    34
  • Email*a valid email address
    35