Teen Improvisation & Choreography 2025-2026 – W/S Renewals

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Parent/Guardian Email: *

Phone: *

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Student First Name: *

Student Last Name: *

Date of birth: *

How did you hear about us?: Luna Website Friend Flyer Postcard send to you Email sent to you Child's school Community Calendar Display Ad Other

if "Other", please specify:

I have read & understand Luna's refund policy: Class size is limited and group learning is important to us at Luna. Therefore, we do not provide refunds for any reason, and we do not provide make-ups or credit for missed classes.: * Yes

I understand that my registration will be finalized when I complete the waiver forms, which will be emailed to me.: * Yes