1916 Central Avenue (2nd Floor), Kansas City, KS 66102 ~ Office/Message - (913) 281-5193
Web Address - www.jnealdance.com ~ Email Address - keydancer@jnealdance.com
June Neal Dance Studio
"The Spirit of DANCE"
June Neal Dance Studio, 2010 Copyright
2009-2010 PRE-REGISTRATION FORM
(All students must complete the actual register form to be enrolled into studio classes.)
Student Name (First & Last)
Parent/Guardian Name (First & Last)
Email Address
Mailing Address (Street, Apartment)
City, State, & Zip Code
Primary Phone Number (incl. Area Code)
Relationship
Primary Division
Ballet, Tap, and Pre-Tumbling/Acrobatics
Secondary Division
Ballet and Tap
Junior/Senior Division
Ballet/Pointe,Tap, Jazz, and Modern
8-Week Course Dance Class
Winter 2010 - January 19th - March 9th
Age
Division / Class Pre-Registration Interest:
(Select all that may apply; final enrollment is at the discretion of the instruction.)
Birthdate
Basic Jazz
Tumbling / Acrobatics
Baton Twirling
Beginner
Intermediate
Advance
Beginner
Intermediate / Advance
Adult Basic
Aerobics, Tap, Jazz
Hip-Hop
2010 Summer Dance Class
Starting July 2010
Primary Classes
Ballet, Tap, and Pre-Tumbling/Acrobatics
Secondary Classes
Ballet, Tap, and Jazz
Junior/Senior Division
Ballet, Tap, and Jazz
Hip - Hop
Adult Basic
Liturgical/Praise Dance
