REGISTRATION


Please complete and submit the form below in order to register your child for dance classes.


Student Information
Student Name *
Student Name
Home Phone *
Home Phone
Birth Date *
Birth Date
Please inform us of any injuries, conditions, allergies, etc. that you would like us to be aware of.
Person Responsible for payment
Name (of person responsible for payment) *
Name (of person responsible for payment)
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Class Information
Class Interest
Please select classes you are interested in.
Please describe child's previous dance experience here.
If your child was a student at LGDS last year, what was the day and time of their class?
If you already know which classes you'd like to register your child for, please list them below.
Interested in a competition class? *
Use this field to ask any questions, express concerns, or give us any information you feel necessary.