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 (child dancers): |
| Parent/Guardian Name:
Email address: |
| Address 1:
Address 2: |
|
| Phone:
Best time to call? Morning Noon Evening |
| |
| Step 2. Class Selection |
|
|
|
Your first
months 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. All sections of the form must
be filled out to be submitted.
Or you may Call: 517-712-5887
Mail
Payments to: |
|
Platinum Dance Academy |
|
4976 1/2 Northwind
Dr. |
|
East Lansing, MI |
|
48823 |
Thank You! Shelley
|