Dance Registration 2018-2019
To register for class, complete and submit the following form. If registering for multiple classes, list additional classes and times in the comments. You'll receive an email confirmation as soon as we have time to register your dancer. Mail payment or pay using a credit card with our Paypal shopping cart.
Email address *
Dancer's Last Name: *
Your answer
Dancer's First Name: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Dancer's Grade:
Dance Experience: *
Guardian's First and Last Name: *
Your answer
Billing Address: *
Your answer
City, State, Zip: *
Your answer
Home Phone: *
Your answer
Cell Phone: *
Your answer
Class:
Day:
Class Start Time:
Payment: *
Comments:
If using a coupon, enter code here for an email link to check out. Any other comments regarding class preferences here.
Your answer
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