Child Dance Class Registration Register now for the Lord Roberts Community Center Dance Class. If you have any questions you can contact us at manager@lordrobertscc.ca Class SelectionSelect a Class* Creative Movement Age 3-5 Thursdays 4:30-5:15 Creative Movement Age 3-5 Sundays 11-1145 Music and Movement Age 6-12 Thursdays 530-630 Parents and Tots Age 2-4 Sundays 1030-11 Family Dance Wednesdays 1-145 Sunday Afternoon Dance Party 1-215 Parent or GuardianParent Name First Last Address* Street Address City Postal Code Phone*Email* Newsletter Signup Sign me up for the LRCC newsletter to hear about upcoming events. Relationship to children* Emergency ContactName* Phone Children ParticipatingName* First Last Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgeMedical Conditions Epi Pen* Yes No Total $ 0.00 CAD How would you like to pay?* Pay online now Pay by cheque or cash at the LRCC Credit Card* Cardholder Name Card Details
