Freedom Rains Ministries

Phone *

Date of Birth: *

Mark the classes the dancer will be signing up for! *

Ages 6 to 11 (covering contemporary/lyrical and jazz) 4:15pm to 5pm

Contemporary/lyrical (Wednesday at 5:30 to 6:15) -ages 12 to 20

Jazz (6:15 to 7:00) -ages 12 to 20

Hip Hop (7:00 to 7:45) -ages 12 to 20

Dancer Age: *

Address *

I have read the terms and Condition *

I agree to the terms and conditions

Dancer Name: *

I have read "What you should know" *

Yes I have read what you should know!

Kingdom Motion is sponsored by Freedom Rains Ministries

Parent/Guardian Relation to Dancer: *

Emergency Contact Name & Number: *

Parent/Guardian Name: *

Parent/Guardian Phone: *

Years of Dancer Experience: *

Medical Conditions/Allergies: *

Best way to contact dancer: *