Dance In The Park @ Devon House

Dance In The Park @ Devon House

Registration Form
Participant's Photo

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Participant's Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender

MaleFemale
Parent's / Guardian's Name

First NameLast Name
Relation
Address

Street Address

Street Address Line 2

Parish
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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.

5,000.00JMD Quantity



Boys Dance Uniform
Dance gears for boys, include a T- Shirt and a Jazz pants.

4,000.00JMD Quantity



Dance In The Park T-Shirts (Adults)
Order your AIR-PAASA Dance In The Park T-Shirt and help support this initiative.

2,500.00JMD



Dance In The Park T-Shirts (Child)
Order your AIR-PAASA Dance In The Park T-Shirt and help support this initiative.

2,000.00JMD



Total

0.00JMD
How did you hear about us?

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