Registration Form
Continuing Student
Dancer's Name: _____________________________________________________________
Phone #’s: (Home) ______________ /(Cell)___________________ /(Work)_______________
Class info.:(Title)_______________________(Day)___________(Time)___________________
2nd Class:(Title)_______________________(Day)___________(Time)____________________
Which Session(s)?
Fall
Winter/Spring
Summer
Which Part(s)?
1 or 2
1 or 2
1 or 2
____ Late Enrollment Week 2
____ Drop In
Today's Date:___________ Amount Paid:______________ Payment Method: cash/check
Please make checks payable to Dynamic Dancing with Yvette
Signature: ___________________________________________________ Date: __________