PLEASE NOTE:
We have moved. Our new location is at 350 Lexington Ave. Mt. Kisco, NY (Click here to see a map)

The classes you register for below, will be taken at our new location in Mt. Kisco.

 

 

Student Name:		Date of Birth:	Age:
Address:
City:		State:	Zip:
Home Phone #:
Cell Phone #:
Work Phone #:
Parent(s)/ Guardian Name:		Email:
Emergency Contact (Name):		Phone #:
Which class(es) are you interested in?   Monday 4:00 - 5:30 Ballet - Teen Adv 4:00 - 5:30 Ballet - 10-12 years 5:30 - 6:30 Pointe - 10-12 years 5:30 - 7:00 Lyrical - Teen Adv Tuesday 4:00 - 5:00 Ballet - 5-6 years 4:00 - 5:00 Ballet - 7-9 years 5:00 - 6:00 Jazz/Hip Hop - 8-11 years 5:00 - 6:00 Jazz/Tap - 5-7 years 6:00 - 7:00 Tap - 8-12 years 6:00 - 7:00 Ballet - Teen Int 7:00 - 8:00 Jazz - Teen Int/Adv 7:00 - 8:00 Hip Hop - Preteen/Tenn 8:00 - 9:00 Hip Hop - Teen/Seniors Thursday 5:00 - 6:00 Ballet - Teen Int/Adv 6:00 - 7:00 Jazz - Teen Int/Adv Saturday 10:00 - 10:45 Pre Ballet - 3-4 years 10:45 - 11:30 Ballet - 5-6 years 11:30 - 12:30 Ballet/Tap - 5-8 years		Bianca
What dance experience has your child had?
If your child has any health problems or learning disabilities we need to be aware of, please explain:
Please read our Studio Policies: I have read and agree to abide by the studio policies of Westchester Dance Academy.We sometimes use candid photos of students in our brochures, publicity releases, and website. Do we have your permission to use your child's photo? YES NO
Parent/Guardian's Name:
Date: