Burns Dance Studio Registration Form
Spring Classes: February 5th - March 26th
Customer Details:
Parent Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Child's birthdate
*
-
Month
-
Day
Year
Date
2nd Child's Name
First Name
Last Name
2nd Child's birthdate
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
How did you hear about us?
*
Please Select
Facebook
Instagram
Google
Friend
Other
Please Specify
*
Class choices (visit www.burnsdancestudio.com for options)
Ages 4-6 Tap / Musical Theater, Thursdays 4:30 - 5:15, $130
Ages 6-9 Beginner Hip Hop, Tuesdays 3:45 - 4:30, $130
Ages 8-12 KPop Dance, Tuesdays 7:15-8:00, $130
Ages 25+ Evening Dance Party, Tuesdays 6:15 - 7:00, $80
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Registration Fee
Registration fee for January-February 2025 Classes (Per family: not per child or per class)
$
9.99
Quantity
1
2
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