CDA Student Registration
2020 - 2021 Dance Season - Please complete the ENTIRE form.
Student Name (as you would like it to appear in the program)
First Name
Last Name
Which class would you like to sign up for?
Ex: Monday at 4:45
Monthly Tuition
To be filled in by CDA office.
Student Age
Ex: 4
Student Date Of Birth
-
Month
-
Day
Year
DOB
Students Address
Street Address
City
State / Province
Postal / Zip Code
Mothers Name
First Name
Last Name
Fathers Name
First Name
Last Name
Email
This is the email we will keep on file to share important info
Phone Number
-
Area Code
Phone Number
Name & Phone Number of Person Responsible For Childs Payment
Name & Number
Submit
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm