Sesame Club Membership Form
Welcome to The Sesame Dance Club!
Please use the form for new memberships or renewals.

Membership Fee:
Before July 1: $40
After July 1: $20

Payment:
Bring your payment to the next Sesame Dance, pay online, or mail a check to:
Sesame Dance Club
Norse Hall
111 NE 11th Avenue Portland, OR 97232
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First Name  *
Last Name *
Email *
Telephone
Enrollment Type *
How will you be paying? *
[Revision Date: 1/2/24]
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