Fall Registration Form

The following student(s) want to register for the following fall classes:

Mondays 3:50 - 4:30 pm Boys Class - Hip Hop, Tap & Jazz (Ages 8-12)Mondays 4:35 - 5:15 pm *Competition Group (To Be Determined)Mondays 5:15 – 6:00 pm *TAP CATS Technique & Performance Level 4Mondays 6:00 – 6:40 pm Pre-Pointe/Beginning PointeMondays 6:45 – 7:35 pm *PEOPLE IN MOTION DANCERS Technique & Performance Level 6Mondays 7:35 - 8:25 pm *PEOPLE IN MOTION DANCERS Technique & Performance Level 7Mondays 8:25 – 9:15 pm *High School/Collegiate Advanced Hip HopTuesdays 3:20 – 4:00 pm *Competition Group (TBD)Tuesdays 4:00 – 4:40 pm *Competition Group (TBD)Tuesdays 4:40 – 5:15 pm *TAP CATS Technique & Performance Level 2Tuesdays 5:15 - 6:00 pm Youth Hip Hop (Ages 8-11)Tuesdays 5:30 – 6:00 pm Beginning Dance/Creative Movement (Ages 3-4) – Studio BTuesdays 6:00 – 6:35 pm *TAP CATS Technique & Performance Level 3Tuesdays 6:35 - 7:25 pm Junior Hip Hop (Middle School)Tuesdays 7:25 - 8:15 pm *Junior Contemporary/Lyrical/Music Theater (Middle School)Wednesdays 3:20 - 4:00 pm *Competition Group (TBD)Wednesdays 4:00 - 4:50 pm Youth Ballet (Ages 8-12)Wednesdays 5:00 – 5:30 pm Beginning Dance/Creative Movement (Ages 3-5)Wednesdays 5:40 - 6:15 pm Intermediate-Advanced Beginning Dance/Tap (Ages 5-7)Wednesdays 6:20 - 7:00 pm *PEOPLE IN MOTION DANCERS Technique & Performance Level 1Wednesdays 7:00 – 8:00 pm *Advanced Ballet/PointeWednesdays 8:00 - 8:50 pm *Senior Contemporary/Lyrical/Music TheaterWednesdays 8:50 - 9:40 pm Adult Dance Class & Night OutThursdays 3:20 - 4:00 pm *Youth Contemporary/Music Theater (Upper Elementary)Thursdays 4:00 - 4:40 pm *PEOPLE IN MOTION DANCERS Technique & Performance Level 2Thursdays 4:40 - 5:10 pm TAP CATS 1/Hippity Hop (Ages 6-8)Thursdays 5:10 - 5:55 pm *PEOPLE IN MOTION DANCERS Technique & Performance Level 3Thursdays 5:55 - 6:40 pm *PEOPLE IN MOTION DANCERS Technique & Performance Level 4Thursdays 6:00 – 6:30 pm Beginning Dance/Creative Movement (Ages 3-4) – Studio BThursdays 6:40 – 7:25 pm *Intermediate BalletThursdays 7:25 – 8:15 pm *PEOPLE IN MOTION DANCERS Technique & Performance Level 5

Student’s Name(s) and Grade(s) (required):

Student's Birthdate (mm/dd/yy required):

Parents’ Name(s) (required):

Mailing Address:

Email Address (required)

Home Telephone:

Cell Phone:

Emergency Phone/Contact:

*Please register by submitting this completed registration form and submitting your payment at your earliest convenience to THE DANCE STUDIO, 107 North Marion Street, Kirksville, MO 63501). Class positions are limited in numbers and will be filled on a first come, first served basis.