SUMMER 2022 DANCE REGISTRATION

Tuesdays: July 12 - August 2

Please complete one form per child.
You will receive a link to join the appropriate class(es).

Student's Full Name / 學生姓名 *

Address / 地址 *

Apartment *

City/Town *

State/Province *

ZIP/Postal Code *

Student's Email Address

Student's Phone Number

Date of Birth

Current Public or Private School Name

Current Grade Level

MOTHER or GUARDIAN PHONE / 家長電話（母親)

FATHER or GUARDIAN PHONE / 家長電話 (父親)

EMAIL / 電子信箱

ADDITIONAL PHONE OR EMAIL / 其他電話或電郵

Spring Classes

Fall Classes

I am new to Chen Dance Center

5-weeks of VIRTUAL (ages 7+, teens, adults) Ballet, Modern, Conditioning, and Free Wellness class

5-weeks of IN PERSON (ages 10+ with proof of vaccination) Ballet and/or Modern