Registration
A 4 week class for parents Just for Fun!! Learn Jazz and Hip Hop, Basic technique and practice a dance! Monday's from 7pm - 8pm February 25th March 4th March 11th March 18th Wear your workout gear, pull your hair up. Shoes? If you have dance shoes, wear them, if not wear socks and athletic shoes!!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*