HR New E.F | The Starz Program

2021-2022

Starz Program Enrollment Form

Complete form below and submit payment to be added to class roster

All classes require a $35 enrollment fee charged upon enrollment. For assistance with this form you can contact us at 757-641-3705.

Students Full Name

Age as of September 1, 2021

School Name and City

Parent Name

Classes (Choose all that you are enrolling in)

Dance

Sports Skills (new sport every month)

Cheerleading

Creative Movement (2yr old only class)

Address, include city, state and zip code

Phone

Email- Please list as many email addresses as you'd like. Please note Starz relies heavily on email for communication. (We respect your privacy and will not share outside of Starz)

Does your child have a medical condition we should be aware of? If yes, please explain:

Authorized adults for pickup (if not picked up from school teacher or administration) :

Starz Program Policies and WaiverView terms of use