Las Cruces School of Dance and Music NEW STUDENT REGISTRATION FORM------- Returning Students Re-register in Person or Call the Office 525-5670...........

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
Additional Info

Enrollment for any classes other than "Beginning" will be subject to instructor approval. Students may be placed in a lower or higher level class at the discreation of the instructor.

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eCheck/Bank Draft
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