Registration Request

Completing this registration request will help speed up the registration process. Admission to classes is subject to approval by the Director. Once admission is approved, the legal parent or guardian will be required to sign a physical copy of the registration form. The information in this registration request will not be shared with anyone outside the Timbrel School Of Dance administration, the student listed, or the legal parent or guardian of the listed student.

Student Name:*
Student Age:*
Date of Birth:*
Street Address:*
City/State:*
ZIP Code:*
Phone:*
Contact Email:*
Parent/ Guardian Name(s):*
Emergency Contact:*
Emergency Contact Phone:*
2nd Emergency Contact:*
2nd Emergency Contact Phone:*
Previous Dance Training:
Classes of Interest:		Ballet Pointe Lyrical Jazz Conditioning Beginner Irish Other
How did you find out about Timbrel?
Additional Message: