Form Page: Registration

Troy Studio

5953 John R. Rd
Troy, MI 48085

Phone: (248) 680-8722

Registration Form 2026

One form per student

Student's Last Name

Student's First Name

Student's DOB

Gender

Mother's Cell

Female

Male

Mother's place of Work

Parent's Last Name

Address

City

Parent's First Name

State

Zip Code

Father's Cell

Home Phone

Father's place of Work

Email Address

Contact Information

First Name

Mobile phone service provider

Last Name

Relationship

Emergency Contact Information

Allergies/Medical conditions

Phone Number

Label

How did you hear about us?

Additional information

I do understand that tuition is due the first week of every month, and the cost of lessons remain the same whether there are
3, 4, or 5 lessons in a month–including Holidays. I also agree if my child should withdraw from classes at Gotta Dance, I will
notify the studio immediately or I will automatically be charged. I understand there are no refunds

Date:

I agree

Financial Agreement

Class

Class Selection