First Name:       

  Last Name:  

  Address:        

  Apt./Suite/Room#:

  City:               

  St.                Zip Code:

  Email:         

  Phone:          

  Fax:            

  I am interested in receiving information on the following:

    Kaleidoscope Student Choreography Showcase

    Annual Spring Production

    Spring Fundraiser

  Classes:

    Acting                        

    Ballet

    Jazz

    Theater Jazz

    Tap                  

  Comments: