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