Registration Information

Felicity Dance Academy
The mission of Felicity Dance Academy is to provide quality dance instruction
in a positive atmosphere building confidence and performing skills
Student’s Name __________________________________
Student’s Birthday ______________________________
Parents’ Names __________________________________________________
Address _________________________________________________________
Telephone ________________________________ Cell. Phone _______________________________
Email Address ________________________________________
Please mark which class(es) you are registering for:
o Clogging (Monday afternoon)
o Ballet/Jazz (Wednesday afternoon)
*Tuition is $30/month for the first class or
$55/month if you sign up for both classes.
Please send this form along with $25 (per family) registration fee to:
Alana Swenson 1943 S. 875 E. Clearfield, Utah 84015
Studio is located at 68 N. 2975 W. Layton, Utah
I ,___________________, understand that my child’s health and safety are of utmost importance to the employees of Felicity Dance Academy. I hold Felicity Dance Owner/Employees harmless of any injury or accident that may occur. _____________________________________(Parent Signature)