Registration Form

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Thank you for your response. ✨

Name

Cell Phone Number

Home Phone Number

Street Address

City, State, Zip code

Birthdate

Seniorcise 1 class $25/month – Additional class $10/month

Tap Classes 1 class $35/month – Additional class $15/month

Ballet Class 1 class $35/month – Additional class $15/month

* Fees are not adjusted due to absence. Recordings of the class will be sent to anyone who misses the class.

Please check below the classes you would like to attend.(required)

Seniorcise Monday 9:00 -9:55 Seniorcise Wednesday 9:00 – 9:55 Beginning Tap Wednesday 2:15 – 3:15 Intermediate Tap Monday 10:00 – 11:00 Intermediate Tap Wednesday 10:00 – 11:00 Advanced Tap Monday 11:15 – 12:15 Advanced Tap Wednesday 11:15 – 12:15 Senior Ballet Tuesday 10:00 – 11:00

How did you hear about us?