Lorie-Lu School of Dance & Gymnastics
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2016 Fall Registration

AUGUST 29TH - 31ST
6:00 - 8:00 pm

Register Now! 

REGISTRATION FORM

This registration form is for existing students only.  New students please complete the "Contact Us" form.  

Student Information
Full Name:
Date of Birth:
Street Address:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Parents Information
Mother's Full Name:
Father's Full Name:
Contact Information
Primary Phone:
Other Phone:
Emergency Contact Phone:
Email:
Classes/Comments
  BalletJazzTapPre-SchoolGymn.
Comments/Questions:

We will email you with the class information (days/times) during Registration.  The registration fee will be added to your first monthly tuition.  Thank you.
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