CONTACT INFORMATION:
Membership ID: (returning members only)
Contact Name: ( first and last)
Your mailing address:
City:
Postal Code:
Your email address:
Your phone number:
Your cell phone number:
Emergency contact: (name and phone number)
STUDENT INFORMATION & CLASS SELECTIONS:
Please list each student , their birthdays (kids only) and which class(es) they
would like to register for. Please separate each student with a semi colon.
For example:
Lauren Collins, May 1st 1994, Teen Hip Hop Fridays 7:30PM,Stage Saturday
9:00AM
;
Briana Collins, July 14th 2004, Music&Movement Monday 1:00PM
Online Registration Form
To watch us dance is to hear our hearts speak.
~Hopi Indian Saying
