The Dance Force
DANCE PARTIES!
AT OUR PLACE OR YOURS! AVAILABLE FOR ALL OCCASIONS!
Classes Start Soon!
Fall Classes Begin Monday September 11th Enroll Today!

THE DANCE FORCE

FALL REGISTRATION FORM

Center for Dance Education & Entertainment

675 Washington Street Norwood MA 02062
(781) 762-2288


This form can be printed and returned to the address above, or filled out online and submitted electronically.

CHILDS NAME:
AGE:
GRADE:
ADDRESS1:
ADDRESS2:
CITY:
ZIP CODE:
HOME PHONE:

Would you like to receive newsletters, schedules and updates via e-mail? Please supply us with
your current e-mail address below: (we do not sell your information)
E-MAIL:

MOTHER’S NAME:
CELL PHONE:
WORK PHONE:
WHERE EMPLOYEED:

FATHER’S NAME:
CELL PHONE:
WORK PHONE:
WHERE EMPLOYEED:

EMERGENCY CONTACT (PLEASE LIST ONE):
NAME:
PHONE:

DOES YOUR CHILD HAVE ANY PHYSICAL LIMITIONS, ALLERGIES OR SPECIAL NEEDS?
PLEASE DESCRIBE:
 

PLEASE INDICATE CLASS CHOICE:

(Example: Monday Mini-Force 3:00 - 4:00pm)
Please be sure to sign up for the appropriate age group


Fall registration fee ($25.00) must be paid before student can begin taking dance classes.
Family Registration Fee (2 or more students): $35.00

For Security please enter the letters you see into the field below:




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(781) 762-2288
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