Fall Registration Form
Welcome to the Lewiston Dance Center or the Grand Island Dance Center, thank you for choosing us for your child's dance education.
We will email you your child's dance schedule choices and all of the basic studio info, including our summer office hours.

PAYMENTS DUE AT TIME OF REGISTRATION: (these payments can be brought to the studio during office hours or mailed to Lewiston Dance Inc. PO BOX 424 Grand Island NY 14072.)
Registration Fee: $35.00 for single student, $55.00 for family
Costume Deposit: $35.00 for EACH CLASS
Recital Fee: $15.00 for single student, $25.00 for family

First Name
Your answer
Last Name
Your answer
Age
Your answer
Date Of Birth
Your answer
Grade student will attend in the fall
Your answer
Street Address
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City
Your answer
Zip Code
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Phone
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Email Address
Your answer
Medical Conditions, Allergies or Disabilities
Your answer
Please list anything you would like us to know about your child
Your answer
Type Of Dance
Required
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