606 E Army Post Rd
Des Moines, IA 50315
(515) 287-2200
eypedancers@yahoo.com

Registration Form

 
required fields are RED
Student Name:
Address:
City:
Zip:
Home Phone:
Cell Phone:
Email Address:
Parents Name(s):
D/O/B
Age
Yrs. Dance
Below is our list of classes. Please select all that you wish to register for. Once your registration is received we will review your request(s) and will discuss with you changes, options, or recommendations.
Performance Classes
Company Classes
IOWA STATE FAIR PARADE PRACTICE Tuesdays 5:30-6:00 PM Studio C
SUMMER HIP HOP 2-4 YRS. OLD PRICE: $75.00PKG Tuesdays 5:30-6:00 PM Studio A
SUMMER HIP HOP 5-7 YRS. OLD PRICE: $85.00PKG Tuesdays 6:00-6:30 PM Studio B
SUMMER HIP HOP 8-10YRS. OLD PRICE: $85.00PKG Tuesdays 6:00-6:30 PM Studio C
SUMMER BOYS ONLY CLASS 5-12YRS. OLD PRICE: $85.00PKG Tuesdays 6:30-7:00 PM Studio B
SUMMER HIP HOP AGES 11-12YRS. OLD PRICE: $85.00PKG Tuesdays 6:30-7:00PM Studio C
SUMMER HIP HOP 13&UPYRS. OLD PRICE: $85.00PKG Tuesdays 7:00-7:30 PM Studio C
JAZZ TECHNIQUE AGES 7&UP PRICE: $30.00PER CLASS Wednesdays 5:00-6:00 PM Studio C
CONTEMPORARY TECHNIQUE AGES 7&UP PRICE: $30.00 PER CLASS Wednesdays 6:00-7:00 PM Studio C
HIP HOP TECHNIQUE AGES 7&UP PRICE: $30.00 PER CLASS Wednesdays 7:00-8:00 PM Studio C
TURNS TECHNIQUE AGES 7&UP PRICE: $30.00 PER CLASS Thursdays 5:00-6:00 PM Studio C
JUMPS TECHNIQUE AGES 7&UP PRICE: $30.00 PER CLASS Thursdays 6:00-7:00 PM Studio C
BALLET TECHNIQUE AGES 7&UP PRICE: $30.00 PER CLASS Thursdays 7:00-8:00 PM Studio C
ALL COMPANY DANCE FOR SUMMER Wednesdays 5:00-8:00 PM Studio C
MINIS ONLY COMPANY FOR SUMMER Thursdays 5:00-7:00 PM Studio B
ALL COMPANY DANCE JRS.- TEEN FOR SUMMER Thursdays 5:00-8:00 PM Studio C
I, the participant and parent or guardian of student, do hereby certify that I or my child is in good health and do not have any physical injuries, disabilities, impairments or health problems, which would interfere with mine or my child's participation at Express Yourself Performing Edge and hereby hold harmless Express Yourself Performing Edge LLC, liable for any personal injuries of any description sustained during my child's voluntary participation therein.

I also understand that Express Yourself Performing Edge is a "hands on studio" which allows teacher's of record to instruct my child by assisting him or her with "hands on" professionalism.

By entering your name here, you agree it is as valid as your written signature. If you wish to fill out a paper form and bring or mail it to us, please download a copy of our registration form here. If you fill this online form out, we will require a written medical information form to be filled out at our studio. We will NEVER request medical information on our website or via email.

Parent's Name:
Enter this number (to cut down on robots): 12735
Today's Date:
July 18, 2019

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