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DANCE ELECTRIC

DANCE ACADEMY (DEDA)

850-322-2360

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