Athletic Grace Dance Studio

Registration

Fill in the form below, and then click the "SUBMIT" button at the bottom. For 2 people, fill in the second half also! (For more than 2, please submit 2 at a time.)
Mail in a check, payable to "Athletic Grace Dance Studio". (If you are unsure about the total tuition please include "request for total' under the special instructions area. We will email the total amount.

    Our mailing address is:
    Athletic Grace Dance Studio
    113 West Grand Avenue
    El Segundo, CA 90245
To help us connect everything correctly, please write student/s name, class and start date in memo section of check. Or you can print this page and include it.

Assume you are registered if you have mailed in your check, unless you hear otherwise.

Student #1

First Name: Last Name:

Birth Date ___/__/___ Age___

E-mail address:

Home Phone: Work Phone:

Cell Phone:

Address:

City: State: Zip:

How did you first hear about us?

Please Register Student #1 for:

Class: Day: Time:

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Student #2