2023 Winter Music & Movement Registration "*" indicates required fields Accompanying Adult* First Name Last Name Email Address* Phone*How many dancers are you registering?* 1 2 Dancer 1* First Name Last Name Date of Birth (Dancer 1)* MM slash DD slash YYYY Class Day and Time (Dancer 1)* Tuesdays from 9:30am to 10:00am (January 10th through February 14th) (6 spots left) Saturdays from 9:00am to 9:30am (January 14th through February 18th) (4 spots left) Dancer 2* First Name Last Name Date of Birth (Dancer 2)* MM slash DD slash YYYY Class Day and Time (Dancer 2)* Tuesdays from 9:30am to 10:00am (January 10th through February 14th) (6 spots left) Saturdays from 9:00am to 9:30am (January 14th through February 18th) (4 spots left) Processing Total Payment MethodCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Questions or CommentsCAPTCHA Δ
