New Student Registration Request Student Name * First Name Last Name Parent/Guardian Name * First Name Last Name Parent/guardian #2 optional; include any other adult who may be involved with studio communication First Name Last Name Email * Phone (###) ### #### Student Date of Birth * MM DD YYYY Previous dance experience (if any) Classes of interest Choose all applicable. We will contact you to confirm your program choices. Pre-Primary Ballet Primary Ballet Ballet (level determined on enrollment) Broadway Jazz (level based on age) Private Training Modern & Contemporary Acting Does your student have any medical or behavioral concerns? Photo sharing permission * Allow Genesee Dance to use photos of your child taken during classes or performances in promotional materials which may include social media accounts, our website and printed brochures. We do not publish dancer names with photos. Yes No Thank you for completing early registration! We will be in touch when the 2024 fall schedule is announced.