Class Registration

Dance Arts Studio Registration Form

Student’s Name: __________________________________________________

Phone: _____________________ Age: ________ Birth Date: ____/____/______

Address: __________________________________ City : _________________

Zip: ____________ E-Mail: _________________________________________

Mother’s Name: ___________________________ Wk. Phone: ______________

Father’s Name: ____________________________ Wk. Phone: ______________

Any Health Problems? ______________________________________________

Signature: _____________________________________ Date: _____________

Class Level: ______________   Day:_____ Time: _____   Day: _____ Time: _____

Day : _____ Time: _____   Day: _____ Time: _____

 

Just print it, fill it out, and hand it in!

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