2021-2022 Registration Form
Rhythmic Arts/Dancing Shiva
SOMERSET
Cedar Hill Prep Gym
152 Cedar Grove Lane
08873

WEST WINDSOR
Max Fitness/The Dance Corner
335 Princeton-Hightstown Rd
08550
Sign in to Google to save your progress. Learn more
Student Name *
Student DOB *
MM
/
DD
/
YYYY
Parent Name *
Parent Phone # *
Parent Email *
Student Email (If Applicable)
Home Address *
Gender *
Will you be choosing In Person or Virtual?
Clear selection
Choose Your Class- Virtual & In Person Class Times are the same *
How Did You Hear About Us? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rhythmic Arts Dance & Music Center. Report Abuse