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Kenmore Online Reg.

REGISTRATION for fall 2009 classes is now accepted online.

Please fill out and submit the form below to reserve a spot for your child.   You will receive an email acknowledgment. This form is for the KENMORE studio only. Please use the Williamsville Online Registration form for the Williamsville location.

Please mail registration form of $10/ 1 student  - $20/ 2 students  - $25/ 3 or more students:

 Jamie Kiefer

159 South Irwinwood Rd

Lancaster, NY, 14086

 

Visit our Online Payments Page to pay with Visa/MC/Discover

* Required fields
Name *
E-mail Address *
Parent's Names
Home Address
City & Zip
Phone # 1
Phone # 2
Date Of Birth
Age As Of September 2009
Emergency Contact Name & Phone Number
Any Allergies or Medical Conditions? If yes, please explain.
Classes Registering For:
Creative Movement Ages 2-3 Saturday 10:00-10:45AM
Preschool Combo Ages 3.5-5 Thursday 5:00-6:00PM
Jazz (6 & up)
Tap (6 & up)
Ballet (6 & up)
Hip Hop (7 & up)
Acrobatics (5 & up)
Lyrical (8 & up)(must take ballet)
Musical Theater (10-14)
How did you hear about us?
Please describe any previous dance lessons:
Any questions or comments?

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