VPNB Dance Class Registration

VPNB Dance Class Registration

Fall Semester - September 12 - October 31, 2020
1st Student Name

First Name Last Name
Age
2nd Student Name

First Name Last Name
Parent/Guardian Name (if student is under 19 years of age)

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Select Class Type

Beginner/Intermediate 5-7 yrs old 1:30pm-2:30pm Beginner/Intermediate 8 - 11yrs old 2:30-3:30pm Beginner/Intermediate 12yrs + 12:30pm - 1:30pm

Payment *

Dance Class 5 -7 yrs $ 150.00 CAD

Quantity

Dance Class 8 - 11 yrs $ 150.00 CAD

Quantity

Dance Class 12 yrs + $ 150.00 CAD

Quantity

Total $ 0.00 CAD

*By submitting your registration you agree to our terms and conditions as outlined below.
Should be Empty: