Registration

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 JANUARY 29th FOR BEST PRICES!

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 2 classes begin February 4th, 2012.


Register before January 29th for the best deal!
Register Now!