REGISTRATION FORM

Parents Name_____________________________________________________

 

Child/s Name_______________________________________________________

 

D/O/B______________________________________________________________

 

Address____________________________________________________________

 

Phone Number_______________________________________________________

 

Alternative Phone Number_____________________________________________

 

E-mail_______________________________________________________________

 

            ___yes, I would like my monthly billing and newsletter sent to my e-mail

            ___no, I would not like my monthly billing and newsletter sent to my e-mail

 

Previous Dance/Tumbling Experience

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 
__________________________________________________________________________________________________________________________


Classes Signing Up For

1._____________________________________________________________________

 

2._____________________________________________________________________

 

3._____________________________________________________________________

 

4._____________________________________________________________________

 

5._____________________________________________________________________

 

Days/Times That Work or Don't Work (Classes held Mon-Sun)(If you are willing to do Saturday morning classes or can go 4pm or earlier on certain days please let me know!!!)

 

 

 

 
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