Barfield School of Dance Register

Fall Registration 2025-26 Season

Registration
Dancers Name*

First NameLast Name
Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Mobile Number
E-mail*
example@example.com
Dancers Age
Dancers Birth Date

MonthDayYear
Dancers Gender
Special Requests
How did you hear about us?
What are the best days for your schedule?

TuesdayWednesdayThursdayFridaySaturday
PLEASE SELECT YOUR PREFERRED DAY AND WE WILL SCHEDULE YOUR DANCER ACCORDINGLY. IF A CLASS IS UNAVAILABLE ON YOUR PREFERRED DAY, WE WILL CONTACT YOU VIA EMAIL. TO COMPLETE YOUR FALL REGISTRATION, PLEASE SEND PAYMENT THROUGH ONLINE BILLPAY TO THE ADDRESS BELOW. THE NON-REFUNDABLE FEE IS $50/STUDENT FOR THE 2025-26 SEASON. IF YOU PREFER TO PAY IN PERSON, OUR OFFICE WILL BE OPEN JULY 7-11 AND JULY 14-18, 9AM-1PM. REGISTRATIONS NOT PAID WITHIN 30 DAYS WILL BE INACTIVATED.

Barfield School of Dance
2298 Barfield Rd.
Murfreesboro, TN 37128

barfieldschoolofdance@gmail.com
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Barfield School of Dance