Fall 2019 Program - Kids & Teens
Registration Form for Ah-Lan Dance Fall 2019 Dance Program, September - December 2019
Dancer's Name *
Your answer
Dancer's Age *
Your answer
Parent / Guardian Name *
Your answer
Parent / Guardian Address (Street, City, ZIP - NEW DANCERS ONLY)
Your answer
Parent / Guardian Home Phone
Your answer
Parent / Guardian Cell Phone *
Your answer
Parent / Guardian Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number 1 *
Your answer
Emergency Contact Phone Number 2
Your answer
Chinese Dance & Shenyun: Kids & Teens
Select one or more classes
Ballet: Kids & Teens
Select one or more classes (These are Full Quarter rates - Drop-In also available)
Modern / Jazz / Hip-Hop Combination: Kids & Teens
Wugong / Chinese Acrobatics: Kids & Teens
Select one or more classes
Submit
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