Studio Psalms, LLC | Enrollment Form

Enrollment Form

If you are registering online, please go to the Policies tab,
print the form and bring it with you the first day of class.

Fill out the form below to enroll your child in Studio Psalm's acrobat and dance studio. When you come in for your first class, you will need to fill out a liability waiver. Availability must be confirmed with staff before enrollment can be guaranteed.
(Please fill out as completely as possible)

Child's name:

Child's birthday: (mm/dd/yy)

Your name: Your email:

Relation to child:

Spouse's name (if applicable):

Other(s) authorized to drop off/pick up your child:

Street address:
City State Zip:

Home Phone #:

Father's Cell Phone #: Mother's Cell Phone #:

Emergency contact:
Name:

Phone #:

Relation to child:

Class most interested in (Time, Day, Class):

Any medical conditions / concerns we should know about? Yes No
If yes, please explain: