2017/2018 Registration Form 
(Fill out and submit)
(A REGISTRATION IS NOT COMPLETE WITHOUT $20.00 REGISTRATION FEE - 
Please mail a check to 101 Union Avenue, Johnstown, NY  12095)
Dancer's Name
Parent's Name(s)
Address
E-mail Address
Home Phone
work phone
Emergency Contact
Relationship & Phone Number
Age (as of 9/1/17)
Birthdate
Grade
Previous Dance Training (place & length of time)
Allergies or Medical Conditions
How did you choose us?  (check all that apply)
Comments
CHECK SUBJECTS YOU WILL BE TAKING: (indicate how many of each)
*Pointe students must have teacher recommendation and be enrolled in at least 3 ballet classes per week
*Lyrical students must be enrolled in at least two ballet and one jazz class per week

Monthly Tuition is $50.00 for first class; $25.00 for second class; $15.00 for each additional class

MONTHLY TUITION - $
Monthly payments payable by Cash, Check or Credit Card
High Performance Dance Center
"Turning Dreams Into Reality"
Newspaper
Yellow Pages
Day Care
Website
Friend/Relative (list name in comment section
Other (explain in comment section)
TAP
JAZZ
CLASSICAL BALLET
PRIMARY TAP/JAZZ COMBO (Ages 5-6)
POINTE*
LYRICAL*
KINDERDANCE (Ages 3-4)
HIP-HOP
Postcard
ACRO