2019-2020 Registration
* Required
$30.00 Registration Fee (per student) MUST accompany this form in order to be registered!
Student's Name (please write your child's name the way you want it listed in the program)
*
Your answer
Date of Birth (children only)
*
Your answer
Parent's Name (if applicable)
*
Your answer
Address
*
Your answer
Phone Number:
*
Your answer
Email Address (Please provide an email address you check regularly)
*
Your answer
Will your child participate in the Glen Allen Day Parade on Saturday, October 5th?
*
Yes
No
Required
Will your child participate in the Ashland Christmas Parade on Sunday, November 24th at 2PM?
*
Yes
No
Required
Will your child participate in the Christmas Show on Sunday, December 8th?
*
Yes
No
Required
Will your child participate in the Christmas show aside from just dancing with their class (extra scenes, etc.)?
*
Yes
No
Required
Will your child participate in the spring showcase on April 17th & 19th?
*
Yes
No
Other:
Required
Payment Plan Options (check one option)
*
A (In Full)
B (Half)
C (Monthly)
Required
List class day & time you are registering your child for
*
Your answer
Please list any special need or concerns you may have below.
Your answer
Reminder: $30 Registration payment must accompany your form. Please go to
www.glenallendancecenter.com/online-store
to make your payment.
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