Lewisburg Dance Conservatory

Online Registration Form

Complete the form below to register your child for a class(es).
Required fields are marked with an asterisk *.


Student Name: (*)
Birthdate: (*)
Address: (*)
Parent's Name: (*)
Email: (*)
Home Phone: (*)
Cell Phone: (*)
Select the class(es): (*)   Advanced Ballet
  Advanced Jazz
  Advanced Modern
  Advanced Tap
  Beginning Ballet
  Creative Movement (Wednesday)
  Creative Movement (Thursday)
  Intermediate Ballet
  Intermediate Tap
  Irish Step Dancing
  Jazz/Tap
  Little Tappers
  Pointe
  Pre Ballet (Monday)
  Pre Ballet (Thursday)
  Youth Ballet 1
  Youth Ballet 2
  Youth Jazz
  Youth Modern
  Zumba
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Lewisburg Dance Conservatory | 1106 Sabra Way Lewisburg, PA 17837 | 570-523-6970