School ZOOM/LIVE Dance Class Registration

School ZOOM/LIVE Dance Class Registration

This form is for schools to register and complete for all participating students. All session are 6 Weeks in length at $100 per student participant.

School Information
School Point of Contact*

First NameLast Name
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School E-mail*
School Contact Number*

Area CodePhone Number
Student List

Please List Each Participating Student
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Participating Student

First NameLast Name
Refer A School/Director
This form and payment will need to be completed at least 3 days before classes begin so all Zoom links can be sent for LIVE classes.
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Virtual Zoom Preschool Dance February 2, 2023 Session$100.00
This fee is per student, and must match the student names above. This fee is for 6 Weeks of Ballet, Tiny Dancer Coloring/Activity Book, Dazzle Tote Bag, Dance Medal Award

# of Participating Students
Item subtotal:$0.00

Total $0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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School ZOOM/LIVE Dance Class Registration

Student List