DANCE TO THE MUSIC 2009/20010 REGISTRATION FORM

Mail completed registration form and fee to:

Dance to the Music
403 D Norristown Rd.
Horsham, PA 19044

Walk in registration for remaining open classes will be August 24st from 4-8 PM

•  Classes fill quickly! Please be prompt in returning your form.

All returning students should register by mail before August 24

 

New Student _____ Returning Student _____

Student Name________________________________   Age_____   Birthdate__________

Street Address__________________________________________Zip code___________

Parents Names _______________________ _______________________

Phone# (home) __________________ (work) ________________ (cell)____________________

e-mail address('s) ______________________________      ______________________________

Desired class(es) ____________/_______________/_______________/______________

Please indicate day, time of class and studio location (A,B or C)

Previous dance experience (applies to new students only)__________________________

________________________________________________________________________

A $20.00 Non-refundable registration fee must accompany this form by August 24, or $25.00 thereafter.

Today's date _____________    Amount enclosed ______________

Once we have received your form and fee, you are automatically enrolled unless contacted


New Student _____ Returning Student _____

Student Name________________________________   Age_____   Birthdate__________

Street Address__________________________________________Zip code___________

Parents Names _______________________ _______________________

Phone# (home) __________________ (work) ________________ (cell)____________________

e-mail address('s) ______________________________      ______________________________

Desired class(es) ____________/_______________/_______________/______________

Please indicate day, time of class and studio location (A,B or C)

Previous dance experience (applies to new students only)__________________________

________________________________________________________________________

A $20.00 Non-refundable registration fee must accompany this form by August 24, or $25.00 thereafter.

Today's date _____________    Amount enclosed ______________

Once we have received your form and fee, you are automatically enrolled unless contacted

DANCE TO THE MUSIC 2009/2010 REGISTRATION FORM

Mail registration form and fee to 403 D Norristown Rd. Horsham, PA 19044
Walk in registration for remaining open classes will be August 21 from 4-8 PM
Classes fill quickly! Please be prompt in returning your form.
All returning students should register by mail before August 24