The Kelly School of Dance - Dothan, Alabama :: Offering instruction in ballet, tap, jazz and hip-hop dance styles.




	Introduction • Return to the Kelly School of Dance Homepage Curriculum • Discover the many dance styles we offer Registration • Register for classes Performances & Recitals • Learn about our students' opportunities to perform Gallery • Watch us dance Contact Information

Registration Form

If your child is a current student at the Kelly School of Dance, please do not use this form; please call the office to confirm your class choice for the fall term. To ensure your student’s place is reserved, a registration fee of $20.00 per student is required. Please complete the form and send a check to the address below, or drop one off at the studio.

Kelly School of Dance

1932 Wise Drive
Dothan, AL 36303

If you are registering more than one student this form must be completed for each student.

*Denotes a required field.

Student’s Name:*
Parent/Guardian:*
Address:*
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Zip Code:*
Home Phone:*	()-
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Cell Phone:	()-
The best number to reach me at is:*
	Home Work Cell
Email:
Date of Birth:*
Previous Dance Experience:
If "Yes"; years, style and studio where studied: