Burns Dance Studio Registration Form
Mini-Mester Classes: January 9th - February 27th
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?
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Facebook
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Friend
Other
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*
Class choices (visit www.burnsdancestudio.com for options)
Ages 4-6 Tap/Musical Theater Thursdays 6:00-6:45PM
Ages 9-12 Beginner Contemporary Tuesdays 3:45-4:30PM
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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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