Please fill-out, print, and mail to:
Dance Theater West
3925 E. Indian School Road
Phoenix, AZ 85018
ALL STUDENTS: Please include a $50.00 recital fee for the Spring semester
New students: Please include a $15 registration fee for the class.
All fees are due by the first day of class.
Checks should be made out to
Dance Theater West
.
Dancer's Name _______________________________________________________________
Parent's Name ________________________________________________________________
Street Address: ________________________________________________________________
City: ____________________________ State ________ Zip Code_______________________
Home Phone Number:________________________ Work or Cell: ________________________
email address: _________________________________________________________________
Class Title: __________________________________ Day:______________ Time: ___________
Class Title: __________________________________ Day:______________ Time: ___________
Class Title: __________________________________ Day:______________ Time: ___________
Class Title: __________________________________ Day:______________ Time: ___________
Class Title: __________________________________ Day:______________ Time: ___________
Class Title: __________________________________ Day:______________ Time: ___________
Class Title: __________________________________ Day:______________ Time: ___________
Class Title: __________________________________ Day:______________ Time: ___________
Amount $ enclosed: _______________________________
contact information will not be released to outside agencies