Adult Class Registration Adult Dance Class Registration - Fall 2022 Register now for the Lord Roberts Community Center Dance Class. If you have any questions you can contact us at programs@lordrobertscc.ca Class SelectionSelect a Class* Friday - Stretch and Strength for Seniors - Ages: 60+ - (4:45-5:45) Friday - Adult Contemporary - Ages: 16+ - (6:45-7:45) Friday - Adult Stretch and Strength - (7:45-8:45) Participant Name First Last Address* Street Address City Postal Code Phone*Email* Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgeMedical Conditions Epi Pen* Yes No Total $ 0.00 CAD How would you like to pay? I'll pay online now I'll pay by cash or cheque at the LRCC Credit Card Cardholder Name Card Details Δ
