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 Selection
Select a Class*
- Creative Movement Age 3-5 Sundays 11-1145
- Parents and Tots Age 2-4 Sundays 1030-11
- Sunday Afternoon Dance Party 1-215
Parent or Guardian
Parent 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 Contact
Name*
Phone
Children Participating
Name*
First Last
Birthdate*
Age
Medical 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

Class Selection