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
TUMBLE TOTS AGES 2-4 PRICE: $30.00 Mondays 5:00PM-5:20PM Studio A
POINTE AGE: TD PRICE: $50.00 Mondays 5:00PM-5:45PM Studio B
BOPPIN' BABES AGES 2-4 PRICE: $30.00 Mondays 5:20PM-5:40PM Studio A
TUMBLING LEVEL 2 AGES: TD PRICE:$40.00 Mondays 5:30PM-6:00PM Studio C
TINY GROOVERS AGES 2-4 TAP/BALLET COMBO PRICE:$40.00 Mondays 5:40PM-6:15PM Studio A
TUMBLING LEVEL 3 AGES: TD PRICE: $40.00 Mondays 6:00PM-6:30PM Studio C
TUMBLING LEVEL 1 AGES 5 AND UP PRICE: $40.00 Mondays 6:30PM-7:00PM Studio B
DAZZLING DIVAS TAP AGES: 5-7 PRICE: $40.00 Tuesdays 5:00PM-5:30PM Studio B
SHINNING STARS TAP AGES: 8-11 PRICE: $40.00 Tuesdays 5:00PM-5:30PM Studio C
DAZZLING DIVAS BALLET AGES: 5-7 PRICE: $40.00 Tuesdays 5:30PM-6:00PM Studio B
SHINNING STARS BALLET AGES: 8-11 PRICE: $40.00 Tuesdays 5:30PM-6:00PM Studio C
DAZZLING DIVAS JAZZ AGES: 5-7 PRICE:$ 40.00 Tuesdays 6:00PM-6:30PM Studio B
SHINNING STARS JAZZ AGES 8-11 PRICE:$40.00 Tuesdays 6:00PM-6:30PM Studio C
RHYTHM SQUAD HIP HOP AGES 8-11 PRICE:$40.00 Tuesdays 6:30PM-7:00PM Studio C
ROOM SHAKERS HIP HOP AGES 5-7 PRICE $40.00 Tuesdays 6:30PM-7:00PM Studio B
ADULT CLASS AGE: SECRET LOL PRICE:$10.00 PER CLASS Wednesdays 7:00PM-7:30PM Studio B
TEEN TAP AGES: 12 AND OLDER PRICE: $40.00 Thursdays 5:00PM-5:30PM Studio C
TEEN BALLET/LYRICAL AGES: 12 AND UP PRICE: $40.00 Thursdays 5:30PM-6:00PM Studio C
TEEN JAZZ AGES: 12 AND UP PRICE $40.00 Thursdays 6:00PM-6:30PM Studio C
TEEN HIP HOP AGES:12 AND UP PRICE: $40.00 Thursdays 6:30PM-7:00PM Studio C
ALL TEAM CLASS: MINI,JR,AND ELITE Mondays 6:30PM-8:00PM Studio C
ALL TEAM CLASS: MINI,JR,AND ELITE Tuesdays 7:00PM-8:00PM Studio C
ELITE TEAM CLASS Wednesdays 4:30PM-7:30PM Studio C
ELITE TEEM CLASS Thursdays 7:00PM-8:00PM 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): 12716
Today's Date:
December 1, 2021

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