Summer 2018 Adaptive Ballet Registration
Parent's Name *
Your answer
Parent's Last Name *
Your answer
Child's Name *
Your answer
Child's Last Name *
Your answer
Child's Age *
Your answer
Has your child participated in any of our Adaptive Ballet classes?
Address
Your answer
City
Your answer
Zip Code
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
Are you a member of the Down Syndrome Association of Houston? *
Are you current on your 2018 membership dues? *
I understand that my child will need to attend a trial session to see if he/she is ready for the program. *
Required
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