68 Hartford Turnpike Tolland, CT 06084
Studio (860) 871-1922 Fax (860) 871-1571
Please complete your application on line here, or print the form and return with your payment to Dance Express. DANCE EXPRESS - SUMMER CAMP REGISTRATION PLEASE COMPLETE THE FOLLWING FORM AND CLICK 'SUBMIT' ONE REGISTRATION FORM PER CHILD STUDENT’S NAME: AGE: CURRENT STUDENT: YES NO PARENT’S NAME: HOME PHONE: (C): ADDRESS: TOWN: ZIP: Enter CLASSES: CLASS: LEVEL: DATES: TIME: COST: CLASS: LEVEL: DATES: TIME: COST: CLASS: LEVEL: DATES: TIME: COST: CLASS: LEVEL: DATES: TIME: COST: CLASS: LEVEL: DATES: TIME: COST: Comments/Questions TOTAL: *PAYMENT DUE IN FULL AT REGISTRATION* AMT PAID: DANCE EXPRESS - 68 HARTFORD TURNPIKE - TOLLAND, CT 06084 - (860) 871-1922
DANCE EXPRESS - SUMMER CAMP REGISTRATION
PLEASE COMPLETE THE FOLLWING FORM AND CLICK 'SUBMIT'
ONE REGISTRATION FORM PER CHILD
STUDENT’S NAME: AGE:
CURRENT STUDENT: YES NO
PARENT’S NAME:
HOME PHONE: (C):
ADDRESS: TOWN: ZIP:
Enter CLASSES:
CLASS: LEVEL: DATES: TIME: COST:
Comments/Questions
TOTAL:
*PAYMENT DUE IN FULL AT REGISTRATION*
AMT PAID:
