Child Dance Class Registration Dance Class Registration - Winter 2021 Register now for the Lord Roberts Community Center Children's Dance Class. If you have any questions you can contact us at programs@lordrobertscc.ca Payment We are working through some issues with our PayPal account. Payment will be made at the time of your first class or you can drop off a cheque at the community centre. Class SelectionSelect a Class*Monday - Musical Theatre 1 - Ages: 6-8Monday - Ballet Jazz Combo 1 - Ages: 6-8Monday - Musical Theatre 2 - Ages: 9-12Thursday - Hip Hop 1 - Ages: 5-6Thursday - Hip Hop 2 - Ages: 7-8Thursday - Hip Hop 3 - Ages: 9-13Parent or GuardianParent Name*Address* Street Address City Postal Code Phone*Email* Relationship to children*Emergency ContactName*Phone Children ParticipatingName* First Last Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgeMedical ConditionsEpi Pen*YesNoTotalPayments to be made by cheque $ 0.00 CAD
