Dance classes

Participant's Full Name

First NameLast Name

Participant's Age

Parent/Guardian Name

First NameLast Name

Parent/Guardian Email

example@example.com

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Select your classes

Other

Please list any allergies or medical conditions

Additional Comments or Questions

Zelle Payment Instructions: To pay via Zelle, send the payment to our Zelle account using our email address or phone number. Please include the participant's full name and selected camp session in the memo/notes. After sending payment, email your payment confirmation (screenshot or receipt) to our registration email so we can confirm your spot.

zelle : La Danse Academy (909)5096410

Email : ladanseacademy.org@gmail.com