Registration and Questionnaire
Name of Student_____________________
Zip Code ___________________________
Cell Phone: _________________________
Can you attend class during the week? ______________
What is the earliest you can come during the week?______
Can you attend class on Saturday? _________________
If you attended Chez Dance last year, what class did you take?
What form of dance do you wish to study?
____1/2 Ballet & 1/2 Jazz
____1/2 Tap & 1/2 Jazz
____1/2, 1/2 & 1/2
____45 Ballet & 45 Jazz
____45 Jazz & 45 Tap
To reserve a spot in class please return this form with a $30.00
registration fee and 1st month tuition payment. Our fax
number if 856-875-4481.
Any questions, please call the studio at 856-875-4475.