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Welcome to
Philly's Got Dance

Ballet, Jazz, Hip Hop, Gymnastics & Tumbling

Contact Information

Philly's Got Dance

4305 Locust St

Philadelphia PA 19104

New Castle DE

Columbia SC

Aubrey TX

Phone: 267-304-0860

Email: phillysgotdance@gmail.com

pgdinternship@gmail.com

Hours of Operation

Tues - Fri 5pm-8pm

Sat: 11am-4pm

Pay tuition via links below or send Zelle payment to 267-304-0860

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Philly's Got Dance

Performing Arts, Leadership & Youth Development • Student Registration 2026–27

Student's first name*

Student's last name*

Birth date*

Month

Day

Year

Nickname (optional)

Shirt size (optional)

School name (optional)

Grade*

Home address

Country/Region*

Address*

City*

Zip / Postal code*

Parent/Guardian Information

Parent/Guardian name*

Relationship to student*

Parent/Guardian cell phone*

Parent/Guardian email*

Second parent/guardian name (optional)

Relationship to student (optional)

Second parent/guardian cell phone (optional)

Second parent/guardian email (optional)

Preferred way for receiving updates

Text

Email

Authorized Pick-up Persons

Authorized pickup person (optional)

Relationship to student

Authorized pickup phone

Class Information

Program selection*

Payment Information

Choose a payment schedule*

Monthly, due on the first class day of each month

Biweekly, due during the first and third week of class

All payments are due before class begins.

Registration fee*

New student, $35

Returning student, $20

Family, $50

Payment Agreement

Name of person responsible for payment*

I understand PGD’s payment and attendance policy: fees are nonrefundable and nontransferable, makeup classes are not currently available, late payments are charged $10 per week, and returned checks are charged $30.

Emergency Information

Allergies or medical needs we should know about (optional)

List any food, medicine, or other allergies

Additional medical information (optional)

Additional information/comments (i.e. blood transfusions, etc)

I authorize Philly’s Got Dance staff to seek emergency medical care for my child if I cannot be reached.

Parent/Guardian signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Additional Information

How did you hear about Philly’s Got Dance? (optional)

Referral name (optional)

If you were referred, please provide the parent and child(ren) name

Previous dance experience (optional)

Please list prior dance experience (number of years, technique studied, teachers, etc.)

Anything else we should know about your child? (optional)

Is there anything that we should know about your child? (e.g., allergies, shy, etc.)

PHILLY'S Got Dance LLC

4305 Locust St Philadelphia PA 19104

Serving children and families in West Philadelphia, University City, Columbia, South Carolina, Aubrey, Texas, and growing partner communities.

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