Registration | Diamond Dance Academy

Please read over our registration policies before submitting your form below.

Dancer's Name *

First

Last

Dancer's Age

Dancer's School

Parent / Guardian *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Cell Phone

Other Phone

Emergency Contact *

First

Last

Emergency Phone

Allergies / Health Concerns

Dance Experience

Classes

List day, time and class name

Parent's Name *

First

Last

Dancer's Name *

First

Last

Parent's Signature *

Date / Time

Date

Time

I agree to all tuition, recital and registration policies & due dates. *