Registration
Form
Name of
Individuals Attending
First Name Last Name Date of Birth Course
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Parents’/Guardians’
Names______________________________________________________
Address_____________________________________________________________________
Street Address City Zip Code
Phone
Number: (______)_______-__________ E-mail ________________________________
Emergency Contact: ____________________ Emergency Phone: (______)_______-__________
Parent/Gaurdian
Signature:_____________________________________________________
For Ballroom
Dance Course only:
Classes will
begin in January 2008 and acknowledgement of your application
will be made
early in December when the date cards will be mailed. After
balanced
enrollment is reached, all others will be placed on a waiting list.
There will be
a reduction of 10 per cent on the subscription of the younger
child made to
parents having more than one child in the classes.
Cost per
course is due at time of registration.
Please make
checks payable to: Hobby Hall, LLC.
Mail to: Hobby Hall, LLC,