Registration
This is a registration form to register you or your child for our upcoming dancing year. Thanks!
Which Class are you registering for *
Parent/Guardian
Student's Name *
Address *
City *
State *
Zip *
Birth date *
MM
/
DD
/
YYYY
Email Address *
Phone Number *
Number of years of dance experience and school attended *
Emergency Contact
Emergency Contact Name *
Emergency Number *
Education
Grade in school
School Attending
Other
If personal recommendation, please name
How did you hear about Dance Company
Payment
Please use the paypal payment button to pay for your class online.
Submit
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