JAM DANCE AND FITNESS
REGISTRATION FORM

DANCER'S NAME:______________________________

ADDRESS:___________________________________

HOME PHONE:______________ CELL PHONE:_____________

BIRTHDATE:_______________________________________

CLASS CHOICE:_____________________

DAY______________________________

TIME:_____________________________

E-MAIL ADDRESS:__________________________________

Please complete one form per dancer.  Be sure to include first semester's tuition with your registration form.  Tuition may vary based on studio location.

Mail to the appropriate studio location

or