Online Registration

Please fill out a separate registration form FOR EACH STUDENT

**This year we will be utilizing email for registration, studio and class announcements. Please use an email address that would be best to contact you.

New or returning student

New Returning

Student Name

Student Birth Date

Student Age

Parent/Guardians Name

Address

City

State

Zip

Information for Parent/Guardian #1

Information for Parent/Guardian #2

Information for Emergency Contact

Parent/Guardian Name

Parent/Guardian Name #2

Emergency Contact Name

Cell Phone Number

Emergency Contact Number

Other Phone Number

Select The Classes You Are Interested In

Select your desired class(s)

Ballet/Tap 1 Combo Class (age 3-4) Ballet/Tap/Jazz 2 Combo Class (age 5-6) Ballet/Tap/Jazz 3 Combo Class (age 7-8) Ballet Technique (age 9 & up) Pointe Prep (Sapphire level & up) Pointe (Teacher placement required) Tap (age 9 & up) Jazz (age 9 & up) Lyrical (age 9 & up) Modern/Contemporary (age 9 & up) Musical Theater (age 8 & up) Poms (age 5 & up) Hip Hop (age 7 & up) Leaps & Turns (age 8 & up) Family Fitness (all ages) Strength, Stretch, Technique (age 7 & up) Okinawan Shorin Ryu Karate (age 8 & up) Adult Classes - Pending Enrollment

If you are looking at our 2021-22 season schedule and know exactly what you should enroll in, please type in the classes you would like to enroll in based on your child's age and level. Example: Monday-BTJ 3 (age7-8) or Wednesday-Rubies-Lyrical; Wednesday-Rubies-Ballet, etc.

Any other questions regarding the 2021-22 Season.

New Students ONLY - Please list your previous dance experience.

Contact Information

618-628-0402
info@taylorsacademyofdance.com
715 Lakepointe Center Drive, O'Fallon, IL 62269