More than one name may be entered if under the same address and phone. Parents or guardian will need to sign a consent form at the first class attended in order for your 10-17 year old to dance.

You can highlight and cut this form, then click on the email link to Pete Cooper , paste it in and fill it out.

Name:

Address:

Preferred Phone:

Second Phone:

E-mail:

How did you find out about classes? Please indicate

Building Sign___ Yard Sign___ Craigs List___ Newspaper___ Flyer___ Mail invitation___

Personal invitation from:

Other: