Kelly's Dance Studio of Cross Lanes - Registration Form
 -
Registration Form
 
'




You will receive a confirmation email or call within a few days of your registration form being recvd.   Please make sure that you add us to your contact list so that we do not go to your Junk Folder!
IF YOU DO NOT RECEIVE A CONFIRMATION WITHIN 3-4 DAYS, PLEASE CONTACT US BY EMAIL (Address is listed in contact info.).
    
Please be sure to completely fill out the mailing address portion of form (complete with zip code).  ***** You must fill in a specific day/time for class.  If you haven't visited our schedule page, simply click on and select the class that you wish to be registered in.  You may change your registered class if necessary, just contact us!
2017-2018 Class registration
Student Name:
Student Date of Birth:
Parent(s)/Guardian(s) Name:
Mailing Address:
Contact telephone #:
Email Address:
Please list the class day & time that you have chosen:
Website Builder provided by  Vistaprint