Fred Astaire RGV Pre-Registration
Pre-Register for ballroom classes at Fred Astaire Rio Grande Valley! Classes will begin after Labor Day and are available for children ages 6+ up to adults! Pre-introductory prices will be available between August 17-31st. For more information in regards to tuition, please contact: Dr. Rebecca V. Rendon (956) 346-4611 rrendon@fredastaire.com.
Email address *
Student Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age
Your answer
School Grade (if applicable)
Parent/Guardian Name (if applicable)
Your answer
Mailing Address *
Your answer
Cell Phone: *
Your answer
Mother's Phone (if applicable)
Your answer
Father's Phone (if applicable)
Your answer
Emergency Contact Name- Phone Number- Relationship *
Your answer
Medical Information/Other Info.
Your answer
How did you hear about Fred Astaire RGV?
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Dancing Thru Life. Report Abuse - Terms of Service