Pro Dance Academy 2019-20 Registration Form
2019-2020 Registration Form
6000 Meadowbrook Mall Ct., Suite 200 Clemmons
336.778.1121
prodanceacademync@yahoo.com
Email address *
Student's Name: *
Your answer
Date of Birth/Age (as of Sept. 1) *
Your answer
Parent's Name and Phone Number: *
Your answer
Complete Address: *
Your answer
How did you hear about us?: *
Your answer
Emergency Contact (name/phone): *
Your answer
Previous Dance Experience/Where: *
Your answer
This student is enrolling for the following classes: *
Required
Enter specific day/time/teacher for the class(es) you selected: *
Your answer
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