Current Student Enrollment Form

Use the form below if you are a current student of Bates Dance Studios.

Studio: *

Which studio are you enrolling in

Semester(s): *

Student info

Student's first name: *

Student's last name: *

Student's birthday: *

Student's age: *

Student's school:

Student's grade: *

What will the student's grade be during the upcoming semester

Contact email: *

Class info

Classes desired: *

List the classes you want

Date or Time conflicts:

Is there a day or time that you CANNOT come for lessons? If so, when?

Payment preference: *

Only applies to Fall/Spring enrollment since the Summer session is only one month long.

Update info below if it has changed.

Contact info

First name of parent or guardian:

Last name of parent or guardian:

Cell phone:

Home phone:

Work phone:

Address:

City:

State:

Zip Code:

Employer:

Emergency contact

Emergency contact first name:

Emergency contact last name:

Emergency contact phone:

Emergency contact relationship:

(Friend, Parent, Coworker, etc)

Enroll today

Enrollment Forms

Resources

Office Hours

Manhattan

Office Closed

Junction City