DANCE ELECTRIC
DANCE ACADEMY (DEDA)
Angela Bowden’s
DANCE ELECTRIC
2957-1 Capital Park Drive Tallahassee, Fl 32301
(850)-322-2360
Registration Form 2019-2020
Child’s First Name: ____________________ Last Name ________________
Parents’ Names:_______________________________________________
Address: ____________________________________________________
City: ________________________________ Zip: _________
Child’s DOB: ____________________ Current Age: ____________________
School Currently Attending: ____________________________ Grade: _____
Home Number: ____________________________
Cell Number: _____________________________
Email Address: ________________________________________________
Any previous dance experience: ___________________________________
Classes Interested in Taking For Fall:
________ Ballet/Tap combo (4+) ______ Ballet
______ Pointe (must be approved) ______ Tap
______ Jazz (5+) ______ Hip-Hop (6+)
______ Contemporary (8+) _______ Conditioning
(mandatory for team members)
______ Acrobatics (5+) _______ Creative Dance,
Beginning Ballet (2-3)
______ Tap Only _______ B-Boy, Break, hip-hop
______ Adult Class _______ Lyrical
Class days & times available: _________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
**A $20.00 non-refundable enrollment fee must accompany this form.
Thank you