Hanley School of Dance Returning Student Pre-Registration

The Pre-Registration Form is intended to help instructors plan the schedule for the upcoming dance season. We ask that you fill out the form as accurately as possible.

After completing this form you will be added to our e-mailing list and receive the new schedule once it is made available.

This form is for RETURNING students only, if you are NEW to the Hanley School of Dance, please fill out our
NEW STUDENT PRE-REGISTRATION FORM

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Relation to Dancer(s)?

Primary Phone # *

Alternate Phone #

Primary Email Address *

Alternate Email Address

Mailing Address or Box Number *

Town *

Other: Town

Postal Code *

Add Another Parent/Guardian

Additional Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Relation to Dancer(s)?

Primary Phone #

Alternate Phone #

Primary Email Address

Alternate Email Address

Mailing Address or Box Number

Town

Other: Town

Postal Code

Emergency Contact Information

In the event of an emergency please list an alternate contact. This contact should be someone other than a parent/guardian (ex. friend, grandparent, other dance family)

Emergency Contact Name (first and last) *

Relationship to Dancer(s): *

Primary Phone # *

Alternate Phone

Primary Email Address *

Alternate Email Address