Center Stage Studio

Registration

E-mail Address: *
Student Name: *
Street: *
City: *
State: *
ZIP: *
Home Phone: *
Cell Phone:
Work Phone:
Age: *
Date of Birth: *
Parent Name:
Parent E-mail:
Classes of Interest: *
Tap
Ballet
Ballet/Tap Combo
Acrobats
Jazz
Hip Hop
Creative Movement
Latin Ballroom
Musical Theater
Zumba
Other
Season of Interest: *Summer
Fall/Spring
How did you hear of us?
Mailing
Personal Referral
Special Event
Other
Comments:

* RequiredPowered by myContactForm.com

$10 Registration Fee for ALL Returning and New Students
(Excluding Ballroom Students)

Checks can be mailed or put into payment box at the Studio.

Center Stage Studio
402 1/2 South Penn Street
Shippensburg, PA 17257