Wufoo

AD Dance Fall 2010 Registration Form

There is a non-refundable registration fee of $40.00 for each student. Classes will be filled on a first come, first served basis according to the full payment of the registration dates.

How did you hear about us?
Student's Name *
Age of Child *
Birthdate MM / DD / YYYY
Name of Parents *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * ### - ### - ####
Email *
Please enter the classes and times that interest you.
Please check the box below to indicate that you understand and accept the "dance attire" and "tuition" information explained on this website and in our informational flyer. Please ask the office if you need a copy. *
Yes, I agree to the tuition rates and will abide to the dance attire policies.
Do Not Fill This Out