Twin Cities School of Dance / Twin Cities Ballet / Bloomington, IL

Online Registration Form 2011 - 2012

Please fill out the form separately for each student.

Please only select classes that you intend or your child intends to take.

The $30 registration fee for each student and class fees may be paid anytime before the end of the first week of fall classes at the front desk of the school. For information on fees, please click here.

A minimum of six enrolled students is required for each class prior to the start date or the class will be cancelled.

Student Name: *

Parent Name: *

E-mail Address: *

Street Address / City / State / Zip Code *

Home Phone: *

Parent Employer: *

Work Phone:

Cell Phone:

Students Date of Birth * / /

Students Age: *

Class One: *

Class Two:

Class Three:

Class Four:

Class Five:

Class Six:

If you are new to our school, please tell us how you learned about us.

Comments or Questions ?

* Required