2019 Acton Woman's Club Dance Class Registration
Please note that all * answers must be completed for your registration to be completed.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Street Address *
Your answer
City/Town *
Zip Code *
Your answer
Student's Grade in *Sept 2019* *
Student Gender *
Indicate which class times are your first and second choices
5:45-6:45 pm for 5th and 6th graders, with an emphasis on beginning students
7:00-8:00 pm for 5th and 6th graders, with an emphasis on students with one year of experience
8:15-9:15 pm for 7th -10th graders, all levels of experience welcome

NEW: 2 Trial classes for 8:15-9:15 pm for 7th–10th graders, all level of experience welcome

1st choice *
2nd choice (for 5th and 6th graders only) *
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