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
SUMMER PRINCESS CAMP MONDAY JULY 23RD ONLY! AGES 4-8 $45.00 Mondays 5:00-6:00 Studio B
SUMMER TUMBLING CAMP MONDAY JULY 23RD ONLY! AGES 8 & UP $45.00 Mondays 6:00-7:00 Studio C
IOWA STATE FAIR PARADE PERFORMANCE CLASS Tuesdays 5:00-5:30 Studio C
SUMMER HIP HOP AGES 2-4 PKG. PRICE $75.00 Tuesdays 5:30-6:00 Studio A
SUMMER HIP HOP AGES 5-7 PKG. PRICING $85.00 Tuesdays 6:00-6:30 Studio B
SUMMER HIP HOP AGES 8-10 PKG. PRICING $85.00 Tuesdays 6:00-6:30 Studio C
SUMMER BOYS ONLY HIP HOP PKG. PRICING $85.00 Tuesdays 6:30-7:00 Studio B
SUMMER HIP HOP AGES 11-12 PKG. PRICING $85.00 Tuesdays 6:30-7:00 Studio C
SUMMER HIP HOP AGES 13 & UP PKG. PRICING $85.00 Tuesdays 7:00-7:30 Studio C
SUMMER JAZZ DROP IN TECHNIQUE CLASS AGES 7&UP $30.00 PER CLASS Wednesdays 5:00-6:00 Studio C
SUMMER CONTEMPORARY DROP IN TECHNIQUE CLASS AGES 7 & UP $30.00 PER CLASS Wednesdays 6:00-7:00 Studio C
SUMMER HIP HOP DROP IN TECHNIQUE CLASS AGES 7 & UP $30.00 PER CLASS Wednesdays 7:00-8:00 Studio C
TURNS AND TECHNIQUE DROP IN CLASS AGES 7 & UP $30.00 PER CLASS Thursdays 5:00-6:00 Studio C
JUMPS AND TECHNIQUE DROP IN CLASS AGES 7 & UP $30.00 PER CLASS Thursdays 6:00-7:00 Studio C
BALLET TECHNIQUE DROP IN CLASS AGES 7 & UP $30.00 PER CLASS Thursdays 7:00-8:00 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): 12752
Today's Date:
June 23, 2018

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