Registration
2018/2019 Student Registration
Parent's Name *
Your answer
Student's Name *
Your answer
Student Birthday (MM/DD/YY) *
MM
/
DD
/
YYYY
What grade will student be in the Fall of 2018? *
Your answer
Address *
Your answer
City, State & Zip *
Your answer
Email Address *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
If you are a new student, which day of the week do you prefer for class? * *
What is the earliest time you can attend dance? *
Your answer
How will you be paying for the $15 registration fee? *
If you are a returning student, is last year's class time still ok?
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This form was created inside of Micki's Dance Studio.