Creative Movement and Dance

Fax: 678-229-6198
SEPTEMBER - MAY  REGISTRATION PRINT OUT FORM

Student:_______________________________________________

Age:________________________D.O.B_____________________

Parent(s):_______________________________________________

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Childcare Center:______________________________

Location:_______________________________________________
                              (Name of street, road or highway)

Please check program preference for your child's school. Acceptance is subject to course availability. Call 678-229-6156 or check with your child's school for specific programs offered there

Pre-Ballet:_____ Tap-Ballet:_____  Pre-Gym:_____ 

 

I have read and understand the information provided in this website. I waive any right to claim against Creative Movement and Dance, Inc. owners, staff, and teachers in the event of accident, injury or loss of personal items. To review policies, click here.

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MAIL THIS PAGE WITH $48.00 FIRST MONTH’S TUITION AND $30.00 REGISTRATION FEE ($78.00)

PAYABLE TO:

CREATIVE MOVEMENT AND DANCE
PO Box 690
Kennesaw, GA 30156
 

 

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