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You may opt to use our printer friendly version just return it Signed with your next payment click here How did you hear about us? * Returning Student Newspaper Ad Referral Transfer Website Other          * - denotes required fields     Parent Information: Parent's Full Name (First, Last):* Home Phone: * Cell #: Work #: *(or type none) Email: * (Emails are kept confidential)   Address: * City: * Baldwin Baldwin Harbor Albertson Bellmore Bellerose East Meadow East Rockaway Floral Park Franklin Square Freeport Garden City Hempsted Herricks Hewlett Hicksville Island Park Lakeview Levittown Long Beach Lynbrook Malverne Merrick Mineola New Hyde Park North Merrick North Bellmore Oceanside Plainview Queens Village Roosevelt Seaford Rockville Centre Roosevelt Uniondale Valley Stream Wantagh Westbury West Hempsted Williston Park Other State: * NY NJ CT Zip Code: * City: (If "Other" - enter and will be added to list.)                             Emergency Contact Info:*                                      (Parent & Other than Parent)       Student Information:                    Status: * Returning Student New Student Transfer Student Other Student's First Name: * Last Name: * Student Gender: Female Male  Birth Date: * (format=mm/dd/yy)  Age: * Student Home Phone: (If different from above) Student Email: (Emails are kept confidential) School: Grade: preschoolkindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradecollegecollege-freshmancollege-sophomorecollege-juniorcollege-seniorAdult Previous Experience: *   Select Class #1: * Ages 3-5 Creative Ballet Ages 3-5 Funky Tap Ages 5-8 Ballet Ages 5-8 Tap/Jazz Combo Ages 5-8 Tap Ages 5-8 Jazz Ages 5-8 Hip-Hop/Reggae Ages 5-8 Theater Dance Ages 5-8 African Dance Ages 8-12 Ballet Ages 8-12 Tap Ages 8-12 Jazz Ages 8-12 Hip-Hop/Reggae Ages 8-12 Turns & Leaps Ages 8-12 Theater Dance Ages 8-12 African Dance Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance All Ages Select Class #2: Ages 3-5 Creative Ballet Ages 3-5 Funky Tap Ages 5-8 Ballet Ages 5-8 Tap/Jazz Combo Ages 5-8 Tap Ages 5-8 Jazz Ages 5-8 Hip-Hop/Reggae Ages 5-8 Theater Dance Ages 5-8 African Dance Ages 8-12 Ballet Ages 8-12 Tap Ages 8-12 Jazz Ages 8-12 Hip-Hop/Reggae Ages 8-12 Turns & Leaps Ages 8-12 Theater Dance Ages 8-12 African Dance Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance All Ages Select Class #3: Ages 5-8 Ballet Ages 5-8 Tap/Jazz Combo Ages 5-8 Tap Ages 5-8 Jazz Ages 5-8 Hip-Hop/Reggae Ages 5-8 Theater Dance Ages 5-8 African Dance Ages 8-12 Ballet Ages 8-12 Tap Ages 8-12 Jazz Ages 8-12 Hip-Hop/Reggae Ages 8-12 Turns & Leaps Ages 8-12 Theater Dance Ages 8-12 African Dance Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance Ages 5-18 only Select Class #4: Ages 5-8 Ballet Ages 5-8 Tap/Jazz Combo Ages 5-8 Tap Ages 5-8 Jazz Ages 5-8 Hip-Hop/Reggae Ages 5-8 Theater Dance Ages 5-8 African Dance Ages 8-12 Ballet Ages 8-12 Tap Ages 8-12 Jazz Ages 8-12 Hip-Hop/Reggae Ages 8-12 Turns & Leaps Ages 8-12 Theater Dance Ages 8-12 African Dance Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance Ages 5-18 only Select Class #5: Ages 5-8 Ballet Ages 5-8 Tap/Jazz Combo Ages 5-8 Tap Ages 5-8 Jazz Ages 5-8 Hip-Hop/Reggae Ages 5-8 Theater Dance Ages 5-8 African Dance Ages 8-12 Ballet Ages 8-12 Tap Ages 8-12 Jazz Ages 8-12 Hip-Hop/Reggae Ages 8-12 Turns & Leaps Ages 8-12 Theater Dance Ages 8-12 African Dance Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance Ages 5-18 only Select Class #6: Ages 8-12 Ballet Ages 8-12 Tap Ages 8-12 Jazz Ages 8-12 Hip-Hop/Reggae Ages 8-12 Turns & Leaps Ages 8-12 Theater Dance Ages 8-12 African Dance Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance Ages 8-18 only Select Class #7: Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance Ages 12-18 only Select Class #8: Ages 12-18 Ballet Ages 12-18 Tap Ages 12-18 Jazz Ages 12-18 Hip-Hop/Reggae Ages 12-18 Pointe Ages 12-18 Modern Ages 12-18 Turns & Leaps Ages 12-18 Theater Dance Ages 12-18 African Dance Ages 12-18 only                    Comments: (If 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