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 Selection
Select a Class*
- Monday - Musical Theatre 1 - Ages: 6-8
- Monday - Ballet Jazz Combo 1 - Ages: 6-8
- Monday - Musical Theatre 2 - Ages: 9-12
- Thursday - Hip Hop 1 - Ages: 5-6
- Thursday - Hip Hop 2 - Ages: 7-8
- Thursday - Hip Hop 3 - Ages: 9-13
Parent or Guardian
Parent Name*
Address*
Street Address City Postal Code
Phone*
Email*
Relationship to children*
Emergency Contact
Name*
Phone
Children Participating
Name*
First Last
Birthdate*
Age
Medical Conditions
Epi Pen*
- Yes
- No
Total
Payments to be made by cheque
$ 0.00 CAD

Child Dance Class Registration

Dance Class Registration - Winter 2021

Payment

Class Selection

Parent or Guardian

Emergency Contact

Children Participating