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Tell us more about your self and your little one! We look forward to you becoming a part of our STEM programs.

Parent's First Name

Phone

Child's First Name

Parent's Last Name

Email

Address

Child's Last Name

Child's Birthday

Allergies/Special Needs

Emergency Contact 1 Name:

Emergency Contact 1 Phone

Emergency Contact 1 Email

Emergency Contact 2 Name

Emergency Contact 2 Phone

Emergency Contact 2 Email

Approved to Pick-Up/Drop-Off (If not listed above)

Classes Interested In

5 Day Hybrid

3 Day In Class

3 Day Online Only

2 Day Online Only

Dance with D

Private Lessons/Tutoring

How did you hear about us?

Thanks for registering!
Please head on over to the Our Programs page, and pay for your classes

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