Mojalet Dance Class Registration Fall 2019
Sept 16 2019 - Dec 8 2019
Registrant's Name
Your answer
Registrant's Age
Your answer
Parents Name
Your answer
Registrants Address
Your answer
City
Your answer
Zip Code
Your answer
Phone
Your answer
Cell Phone
Your answer
E-Mail
Your answer
Select the number of classes you wish to attend.
Select the class you plan to attend. (PLEASE note age levels.)
Extra Rehearsal Classes will be added to the week prior to the performance. No extra fees will be required; however, we do sell tickets to the performance.
Payment Information
Checks made out to Mojalet Dance Collective or call to use credit card.
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