Child Dance Class Registration Dance Class Registration - Fall 2022 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 Class SelectionSelect a Class* Monday - Ballet/Jazz 1 - Ages: 6-8 - (4:30-5:30) Monday - Musical theatre 1 - Ages: 6-8 - (5:30pm-6:30) Monday - Ballet/Jazz 2 - Ages: 9-12 - (6:30-7:30) Monday - Musical theatre 2 - Ages: 9-12 - (7:30-8:30) Wednesday - Workshop dance (Drop in $5 a class) - Ages: 7-8 - (5:45-6:45) Sunday - Parents and tots - Ages: 2-3 - (11:45-12:30) Parent or GuardianParent Name First Last Address* Street Address City Postal Code Phone*Email* Relationship to children* Emergency ContactName* Phone Children ParticipatingName* First Last Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgeMedical 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 Δ
