Registration Form

 

Registration Form

Fill out the information below and hand it into me or send it in an e-mail! The monthly fee is 15 dollars and 5 dollars off if you have more than one child in Summer Dance. The registration fee is five dollars per family which you can turn in to me.

Dancers Name(s) and age(s):

_______________________________________________________________________

________________________________________________________________________

_______________________________________________________________________

Parent’s Name: _____________________________________________________________

Phone Number: _______________________________________________________

E-mail Address: ________________________________________________________

Signature: _____________________________________________________________

If you have any questions or comments feel free to contact me!

E-mail: Summer.Dance2@yahoo.com

Cell phone: 801-690-2498

Blog: Summer-Dance.blogspot.com (Make sure and check the blog regularly)

Sincerely,

Raechel Brown