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Note: Once you are ready to submit the registration form, the SUBMIT buttom is found at the very BOTTOM of this form. Thank You.
Class Registration Form
Participant's Name:
(first, last)
Parent /Guardian First Name:
Parent /Guardian Last Name:
Street Address:
City:
State:
Zip:
Email:
Home Phone:
Work Phone:
Additional Phone:
Participant's Birthdate:
 
We will charge your card a $50 deposit towards your first month's dance fees. This will reserve your placement in the class. The remaining balance will be due the first day of class.
Credit Card:
Credit Card Number:
Card Expiration:
ex: 07/2007
 
Session:
Class Name (1):
Class Code:
Age Group:
Day of the Week:
Time:
Class Name (2):
Class Code:
Age Group:
Day of the Week:
Time:
Class Name (3):
Class Code:
Age Group:
Day of the Week:
Time:
Class Name (4):
Class Code:
Age Group:
Day of the Week:
Time:
Class Name (5):
Class Code:
Age Group:
Day of the Week:
Time:


If you need to register for more classes then spaces allotted, simply submit this form as many times as needed. Thank you.
Let's Dance Studio