Open House and Registration - Dance & Arts Showcase | Children's and Adult Dance Classes

Contact Information

Name of Parent or Guardian

First Last

Address*

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Primary phone*

Cell phone

Email address*

Name of first student

Age of first student

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Name of second student (if applicable)

Age of second student (if applicable)

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Name of third student (if applicable)

Age of third student (if applicable)

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Select all that apply

Children's Dance Classes

Class Day(s) and Time(s) Requested:

Music Instruction

Adult Classes

Senior 50+ Classes

Additional Notes

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