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: __________