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: *10/26 Classes 3:00-4:00PM Spooky Dance & Craft (Costume Dress up)(age 3-8)4:00-5:00pm Technique & Choreography (age 6-14)5:00-6:00pm Jazz & Contemporary Technique (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