Dance In The Park @ Devon House
Registration Form
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Participant's Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Gender
Male
Female
Parent's / Guardian's Name
First Name
Last Name
Relation
Address
Street Address
Street Address Line 2
Parish
Phone Number
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Phone Number
Please enter a valid phone number.
Email
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I would like to register for the following activity:
*
- Dance (3 - 7 years)
- Dance (8 - 12 years)
- Dance (Teens/Adults)
- Percussion
- Reading, Homework, PEP Assistance & Story telling
- Private lessons (Please select a date below)
Fee
*
- Day visit: $1,500.00 (with Ice-cream or Patty)
- Monthly pass $4,000.00
- Teen/Adult Class $1,000.00 per day
- Academic support* $1,000.00
Any disabilities, allergies, are you on medication or experiencing illnesses that may hinder participation?
Order Your Dance In The Park Gear
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Girls Dance Uniform
Dance gears for girls, include leotard, tights and skirt.
5,000.00
JMD
Quantity
1
2
3
4
5
6
7
8
9
10
Boys Dance Uniform
Dance gears for boys, include a T- Shirt and a Jazz pants.
4,000.00
JMD
Quantity
1
2
3
4
5
6
7
8
9
10
Dance In The Park T-Shirts (Adults)
Order your AIR-PAASA Dance In The Park T-Shirt and help support this initiative.
2,500.00
JMD
Dance In The Park T-Shirts (Child)
Order your AIR-PAASA Dance In The Park T-Shirt and help support this initiative.
2,000.00
JMD
How did you hear about us?
Word of mouth
Email
Social media
Saw you in the park
Local media
Other
Book a private session
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