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Price range: $0.00 through $25.00

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Is this your first year with Upstage Dance Center?

Yes – this is our first year (Welcome!)

No – we participated in May 2025 (You’re on a roll!)

No, but we took a break (Welcome back!)

If this is your first year, has your dancer(s) participated in a free trial class to determine class recommendations?

Yes

Dancer’s Name (First)

Dancer’s Name (Last)

Date of Birth MM/DD/YYYY

Name of School

Grade in School

Please indicate any health concerns which may impact participation in dance class.

How did you hear about us?

Emergency Contact Name

Relationship to Student (parent, grandparent, spouse, etc.)

Emergency Contact Phone Number

Email address for the person financially responsible for dance lessons to receive tuition reminders, invoices, etc.

Payment Option for Monthly Tuition

Pay Monthly via the Upstage Dance Center Website

Pay with PayPal Monthly Auto Draft (recommended)

SKU: N/A Category: Registration

Additional information

Start Here	1st Dancer, 2nd Dancer, 3rd Dancer, 4th Dancer

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