STUDENT REGISTRATION FORM IN ROYAL DANCE ACADEMY Student Name * First Name Last Name Parent/Guardian Name Phone * (###) ### #### Email * Student Date of Birthday * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What is the purpose of classes for you or your child? * Participate in competitions and leveling up Classes for fun What kind of dance are you interest in? * Ballroom and Latin Dance Social Dance Wedding Dance Baby Dance Other How did you hear about us? * Rules acknowledgment * Please read our Rules of Academy I acknowledge and agree to Royal Dance Academy rules Signature * By typing my name below, I confirm that all information provided is true and I agree to the Royal Dance Academy rules and policies. Thank you and welcome to Royal Dance Academy!
