Lancaster Dance Center - Summer Dance Zoom Classes 2020
Registration for Summer Zoom Classes at LDC! Please submit ONE FORM PER FAMILY. Summer Classes will run starting Monday, July 6th through Thursday, July 30th. Registration Deadline is Friday, July 3rd, 2020. Please call or email the studio with any questions regarding summer classes or this form 683-0588 or lancasterdancecenter@gmail.com
Email address *
Parent / Guardian First and Last Name *
Address *
Parent Cell Phone *
Parent Email *
Child #1: Name / Age / DOB *
Child #2: Name / Age / DOB
Child #3: Name / Age / DOB
Student's Cell Phone # (if applicable)
Emergency Contact Name *
Emergency Contact Phone # *
Restrictions / Health Problems *
Family Medical Coverage *
Parent / Guardian Signature *
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