Fall Semester Registration Form

Fall Semester Dance Registration

Fill the registration form below to sign up for fall semester.
Student Name

First NameLast Name
Birth Date

MonthDayYear
Date
Student Name

First NameLast Name
Birth Date

MonthDayYear
Date
E-mail
Phone Number

Area CodePhone Number
Parent Name
Parent Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Class Title, Day and Time
Class Choice(s)

45 minute class ($155/semester)1 hour class ($210/semester)1.5 hour class ($250/semester)Monthly payment 45 minute class ($45/month)Monthly payment 1 hour class ($55/month)Monthly payment 1.5 hour class ($70/month)Drop In Class Card ($180/10 lessons)

Semester Payment

USDClass Tuition (add $15 individual or $25 family registration fee)

Fall Semester Dance Registration