Soaring Spirit Dance

Fall 2008 Enrollment Form

To enroll in classes for the September 2008 through December 2008 session, just complete the form below. You can review our current Fall Schedule here. We will call or email you within a few days with payment options, further scheduling information, or just to answer any questions you may have.

Note that you may make online payments via eCheck, at https://www.musicplace.com/register/eCheckForm.php at any time.

Parent/Family Information:

* First Name:

* Last Name:

* Best Contact Phone:

* Email:

* Street Address:

Apt #, PO Box, Etc:

* City:

* Zip Code:

Student Information:

Same As Above?

That's Me! (I'm an adult.)

* Student First:

* Student Last:

* Date of Birth:

Please enroll this Student in the following class:

* Class Name:

* Day:

* Time:

Second Student?

Student First:

Student Last:

Date of Birth:

Please enroll this Student in the following class:

Class Name:

Day:

Time:

Third Student?

Student First:

Student Last:

Date of Birth:

Please enroll this Student in the following class:

Class Name:

Day:

Time:

Additional Schedule Information:

Until classes fill up and are confirmed, schedules are subject to change. To help us accomodate as many students as possible, please include additional schedule/availability information below.

Also Interested In:

Best Days & Times:

Other Possibilities?:

Days/Times that would NOT work:

Special request or additional information about enrolled children, etc:

Humanity Check:

We regret that this is necessary, but without it, our website gets "spammed" with automated advertisements and other nuisance submissions. (This process helps because machines can't read the digits in the graphic below.) We appreciate your cooperation!

* Please Enter Code:

<< Go Back | Home Page | Forward >>

Last Modified: 2008.08.22