Home About Amy Lynn Photos Upcoming Events / Registration Contact Us

 

ONLINE REGISTRATION FORM

Welcome To Our 2010-2011 Dance Season
Registration Fee-$20.00 Per Family-$25.00

Please Mail Registration Payment To The Studio

 

Students Last Name
First & Middle Name
Date of Birth
Age
Grade 
Address Street 1 
Address Street 2 
City 
State 
Zip Code 
Parents First & Last Name 
Home Phone 
Work Phone 
Cell Phone 
Email Address 
Emergency Contact Name & Number 
List Previous Dance Experience & Number Of Years
Classes You Would Like To Register For (Can Check More Than One)

Registering for Tap ..........................Registering for Adult Tap
Registering for Jazz ..................Registering for Jazz Technique
Registering for Ballet ............................Registering for Lyrical
Registering for Pointe ........................Registering for Hip Hop
Registering for Production ....Registering for Junior Production
Registering for Musical Theatre Production

How Did You Hear About Our Studio?
Your Child's Tap Time For The Fall
Your Child's Jazz Time For The Fall
Your Child's Ballet Time For The Fall
................................

 

 

 

 

© Lakeshore Allnet Internet Services -www.lsallnet.com