Dance Class Registration Form

Your 3 Steps away from Dancing yourself to.... a Happier way of Life!

Please register one student at a time.

Step 1. Student Information

Student Name:         Student Date of Birth:

Parent/Guardian Name:       Email address:

Address 1:      Address 2:

City:     State:       Zip Code:

Phone:       Best time to call?  Morning Noon Evening

Step 2. Class Selection

Your first month’s lesson fee is due at registration to reserve your spot in class! Registration is non-refundable and non-transferable.

Step 3.  Review your information, click  .... Submit...

Or you may Call: 517-712-5887

Mail Payments to:
Shelley Thomas
1115 Samantha Ave.
Lansing, Mi.
48910

Thank You!...Shelley  

                                                

Last modified: July 30, 2010    The forms processing software supplied by www.tectite.com.