Bollywood Dance Class Registration

Student's Name :
Date of Birth :
Parents' Name: Mr./Mrs :
Cell Phone :
Emergency Contact Phone :
Home Phone :
Email :
Dance School Location :
Do you have dancing experience?
If yes, please explain :
Have you attened any other bollywood dance school?
If yes, which school?

CLASS TIMES ARE SUBJECT TO CHANGE WITHOUT NOTICE. PLEASE CHECK WEBSITE REGULARLY FOR ANY CHANGES