♦️22/23 NEW REGISTRATIONS♦️

22/23 NEW STUDENT REGISTRATIONS
Name *

First Name Last Name
Birth Date *

Month Day Year
Address

Street Address

Street Address Line

City State / Province

Postal / Zip Code
Parent E-mail *
example@example.com
Parent Mobile Number
Home Phone Number
Parent Work Number
Dancer Email
example@example.com
Dancer Cell Phone Number
Please enter a valid phone number.
ALLERGIES

YES NO
Courses *

HIGHLAND DANCE CAPE BRETON STEP DANCE HIGHLAND WARRIORS ADULT STEP DANCE
Allergy Information
Additional Comments
Should be Empty:

22/23 NEW STUDENT REGISTRATIONS