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