2010 - 2011 Enrollment Form

Student Information

Student Name*
Date of Birth *
Age *

Parent or Guardian Information

Name *
Address *
City *
State *
Zip *
Email *
Home Phone
Work Phone
Cell Phone

In case of Emergency

Contact *
Relationship *
Home Phone *
Cell Phone *

How did you hear about Jenks Dance Academy?

Referral, who?
How did you hear about us

Drove By

Tulsa Kids Ad

Previous Student

Yellow Pages

Tulsa World

Website

Other, please specify

Classes

Session

Class
Day & Time

Class
Day & Time

Class
Day & Time

Summer Hours

Monday	10-Noon, 4:30-7:30 pm
Tuesday	10-Noon, 4:30-7:30 pm
Wednesday	10-Noon, 4:30-7:30 pm
Thursday	10-Noon, 4:30-7:30 pm
Friday	10-Noon
Saturday	Desk Closed
Studio Handbook

Enrollment Form

NEWS & EVENTS

JENKS DANCE ACADEMY'S OPEN HOUSE ~ SATURDAY AUGUST 7 & 14 FROM 10:00 - NOON & SUNDAY AUGUST 8 & 15 FROM 2:00 - 4:00!

Jenks Dance Academy Celebrates "National Dance Day" ~ Saturday, July 31st from 12:00-3:00!