REGISTRATION

The Colony Dance, Inc.
6700 Main Street #131
The Colony, TX. 75056
(214) 469-1699
www.thecolonydance.com
“EMPOWERING GREAT DANCERS AND LIFETIME ACHIEVERS”
 

Date: Registration Fee: $45.00

STUDENT NAME

 

PRIMARY EMAIL:

 

DAYTIME PHONE NUMBER:

 

EMERGENCY CONTACT:

 

BIRTHDAY

 

CLASS(ES) INTERESTED IN:

 

AGE/GRADE:

 

DANCE EXPERIENCE

 

**THANK YOU FOR CHOOSING THE COLONY DANCE.**