Page 1 of 2

Broadway Dance Lab Class Registration

Please refer to our website for our policies, pricing rates, and more information before registering for classes. sophia.ampania.com/broadway-dance-lab

Trial classes are available upon request. To request a trial class please email sophiaampaniadesign@gmail.com

Dancer Information

First name

*

Last name

*

Date of Birth

*

Email

Phone

Address

Address Line 1

*

Address Line 2

City, State

*

Zip Code

*

Parent/Guardian Information

Skip if dancer is 18+

First Name

Last Name

Email

Phone

Class Selection

Please select the classes you want to enroll your dancer in

*

Please select the classes you want to enroll your dancer in

Musical Theatre Jazz (Every Saturday, 5PM-6PM)

Contemporary (Every Saturday, 6PM-7PM)