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: *Valentine's Dance Workshop 02/07/20256:30-7:30pm Ballet & Tumbling age 3-57:15-8:30pm Jazz & Ballet Technique age 6-11How 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