Registration

Registrations OPEN for 2012-2013!

Register online below, or download the PDF registration form, print it, fill it out, and bring it with you to the dance studio.

REGISTER before September 8 and Save $200!

Full Name:

Age:

Date of Birth: ( MM / DD / YY )

Address:

City:

Province:

Postal Code:

Home Phone:

Work Phone:

Cell Phone:

Email Adress:

Parent / Guardian’s Name:

Parent / Guardian’s Phone:

Emergency Contact’s Name:

Emergency Contact’s Phone:

Health Card Number:

Health Card Expiration Date:

Doctor’s Name:

Doctor’s Phone:

Class:

Health Conditions:

Medications:

How did you hear about us?:

Remember, season 3 classes begin September 8th, 2012.


Register now for the best rates!
Register Now!