New Student Request Form

Please Note: This form does not ensure enrollment to Atlantic Dance.

Thank you for your interest in Atlantic Dance. Enrollment at Atlantic Dance is currently at full capacity. New pre-school and kindergarten classes begin each September. Filling out this form initiates the waiting list enrollment process. We will contact you once there is an opening for your child.

Parent's Name


Email


Phone

Child's Name


Child's Age

Child's Date of Birth


Dance Skill Level

BeginnerIntermediateAdvanced

Current School


Additional Comments

Phone

252.441.9009

E-mail

info@atlanticdance.com

Mailing Address

1702 N. Croatan Hwy
Kill Devil Hills, NC 27948

Studio Location

Dare Centre
MP 7 Bypass
Kill Devil Hills