Registration Form

Register for dance classes at the Joseph Wallin School of Dance in Dartmouth, Nova Scotia.

Dancer 1 *
Dancer 1
Date of Birth (18 and Under)
Date of Birth (18 and Under)
Dancer 2
Dancer 2
Date of Birth (18 and Under)
Date of Birth (18 and Under)
Dancer 3
Dancer 3
Date of Birth (18 and Under)
Date of Birth (18 and Under)
Dancer 4
Dancer 4
Date of Birth (18 and Under)
Date of Birth (18 and Under)
Name of Parent or Guardian
Name of Parent or Guardian
Address *
Address
Home Phone *
Home Phone
Mobile Phone
Mobile Phone
Work Phone
Work Phone
Work Phone
Work Phone
Styles of Dance *
Dancer 1
Styles of Dance
Dancer 2
Styles of Dance
Dancer 3
Styles of Dance
Dancer 4