Monthly Theme Class REGISTRATION FORM Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastDate of Birth *Parent's Name *FirstLastEmail *Phone *School *Address2ND EMERGENCY NAME: *2ND EMERGENCY CONTACT: *Classes12:15-1:00pm Parent and Me (age 2-3)12:00-1:00pm Stretch and Conditioning (age 7+)1:00-2:00pm Ballet & Pom Pom (age 3-5)1:00-2:00pm Contemporary (age 7+) 2:00-3:00pm Jazz & Hip Hop (age 5-7)2:00-3:00pm Tumbling (age 7+)3:00-4:00pm Contemporary & Jazz (age 8+)How did you hear about us? *Please check to give us permission to take photographs of your child for our gallery, website, and social media. *YesThank you for your interests for Athena Dance Academy! We will be in touch with you shortly for payment and class details. Comments or Questions? Contact us: Email:contact@athenadanceacademy.org website:www.athenadanceacademy.org Phone: 281-809-3362Submit