Registration Enrollment Form
Please fill in the form below.
Parent's Name
*
First
Last
Child's Name & Age
Cell Phone Number
*
-
Area Code
Phone Number
E-mail
*
Best day of the week for child's class?
Afternoon, Evening or Saturday Classes?
After what time is best for your child's class?
How soon would you like to enroll?
-
Month
-
Day
Year
Date
Cynthia's Dance Center Since 1978
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