Parent/Guardian Name
Student Name
Students Date of Birth
Phone #
Emergency Phone #
Summer or Fall
Desired Classes

*All NEW MSDC students will need to mail Registration fee ($18.00) to complete our registration process. Once payment is received your dancers spot will be saved for their desired class(es). Registration is not complete until payment is received. Payments are nonrefundable once mailed out.

*By filling out/sending this Registration form, you are agreeing to abide by ALL of MSDC's Studio Policies/Payments.*

Please ONLY register your child if you are ready to dedicate to classes.
If you have questions please call Miss Sam PRIOR to registration. 
**NOTE- It is best to register from a computer. Registering from a phone or tablet can slow or not send submissions correctly. If Miss Sam doesn't contact you after 1 week of your submission please be sure to call!

  Student to Teacher Ratio Matters at MSDC!
Limited class availability!