Additional Dancer Enrollment Form | Cirque Dance Studio

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DANCE WITH US

Prepare To Be Amazing

Additional Dancer Enrollment Form

First Name*

Last Name*

Parent First Name*

Parent Last Name*

Parent Email*

Phone Phone Number*

Birthday*

Month

Day

Year

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Grade for 2026-2027 School Year*

Please Select*

Male Dancer

Female Dancer

Do you plan to enroll in Hip Hop?

Yes

No

Returning Dancer*

Yes!

No, I'm new at Cirque!

Dancer T-Shirt Size*

Additional Comments

Please list any allergies or medical conditions.

Emergency Contact Name*

I agree to submit the enrollment fee and May tuition for each dancer enrolling at Cirque Dance Studio.

First Dancer Enrollment Fee ($25)+ May Tuition ($75)

$5 discount for additional sibling dancer.

*Enrollment will not be completed until payment is received.

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Where passion meets performance. Cirque Dance Studio cultivates confident, disciplined, and passionate dancers through high-quality instruction and a supportive studio environment.

Contact

Altus, Oklahoma
cirquedancestudio@gmail.com

580.821.2644

© 2026 Cirque Dance Studio. All rights reserved.

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