Please take the time to fill out this form completely. Once you have entered all the necessary information you may print the form out and mail it to us directly.A representative will then contact you.If you wish to register at this time using this form, simply print out the form, and enclose the $35.00 registration fee for the 1st child, or the $40.00 registration fee per family and mail it back to us at:
The Lorraine Goddard School of Dance 8801 Hearthstone Drive E. Amherst, New York 14501
| First Name | Last Name |
| Street address | City/State/Zip |
| Phone Number | E-mail address |
| Classes you are interested in | Previous Experience |
| If you were one of our students last year, what was the day and time of your class? | Is a Saturday or Weekday Class necessary |
| What is the earliest time you are available? | Are you interested in a competition class? |
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