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THE CHIC

Dance Studio

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✨ Join The Chic Dance Studio

Ready to dance with us?

Complete the registration form below to get started.

New students get one free trial class and consultation!

Youth Registration Form (Under 18)

Student Info

Dancer's Last name*

Dancer's First name*

Date of Birth (must be under 18)*

Month

Day

Year

Dancer's Contact Number (optional)

Parent/Guardian Contact

Parent/Guardian Full Name*

Parent/Guardian Email Address*

Relationship to Dancer*

Parent/Guardian Phone Number*

Emergency Contact

Emergency Contact Full Name*

Relationship to student*

Emergency Contact Phone*

Medical Information

Medical Info / Allergies / Special Needs*

Optional – Anything we should know to keep your dancer safe

Class Preferences:

Which classes are you interested in?*

Ballet

Jazz

Hip Hop

Mat Pilates

Yoga

Flexibility Training

Conditioning/Workouts

Private Lessons

Tap (Interest Only)

Gymnastics (Interest Only)

Reformer Pilates (Interest Only)

Adult Registration Form (18+)

Student Info

Dancer's Last name*

Dancer's First name*

Date of Birth (Must be 18+)*

Month

Day

Year

Email Address*

Phone Number*

Emergency Contact

Emergency Contact Full Name*

Relationship to Dancer*

Emergency Contact Phone*

Medical Information

Medical Info / Allergies / Special Needs*

Optional – Anything we should know to keep you safe

Class Preferences:

Which classes are you interested in?*

Ballet

Jazz

Hip Hop

Mat Pilates

Yoga

Flexibility Training

Conditioning/Workouts

Private Lessons

Reformer Pilates (Interest Only)

Barre

Monday - Thursday 3pm - 6pm

Friday CLOSED

Saturday-Sunday 7am - 12pm

The Chic Dance Studio
4692 Meridian Ave,

San Jose, CA 95118
📞 408-886-1939
✉️ ChicksAtTheChic@gmail.com

THE CHIC

Dance Studio

Email*

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