Hanley School of Dance NEW Student Pre-Registration

The Pre-Registration Form is intended to help instructors plan the schedule for the upcoming dance season. No payment is required until our in-person registration in August

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 NEW students only, if you are a RETURNING Hanley School of Dance student, please fill out our
RETURNING 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