Contact Name *

First Name

Last Name

Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dancer Name *

As you want it to appear in the final artwork

First Name

Last Name

Dance Company Member? *

Are you a Dance Company Member?

Yes

No

Classes enrolled at the studio this year *

Ballet

Combo Ballet / Jazz

Combo Ballet / Modern

Contemporary

Hip Hop

Jazz

Pointe

Pre-Ballet/ Creative Movement

Tap

Other* (list other classes below)

Dancer Photo *

The photo must be a Hi-res / Hi-quality photo to ensure that the design looks great. All photos to be used must be owned by the purchaser.

Use photo taken on picture day by Great American Photo

Customer will email a Hi-res digital photo

PRODUCT ORDER *

The final digital magazine file will be sent to each customer via email. We will email payment information via PayPal.

Design with Digital File - $40 (plus tax)