Please fill out the form below to register yourself or your child for this year's classes

Student's Name *
Student's Name
Guardian 1 Name
Guardian 1 Name
Guardian 2 Name
Guardian 2 Name
Residential Address
Residential Address
Home Phone
Home Phone
Work Phone
Work Phone
Emergency Phone
Emergency Phone
Classes to enroll in
Seibert Dancers
How did you hear about Cheshire Dance Centre?

Students will automatically be placed in next appropriate level, unless otherwise directed by staff recommendations.
Although it may not be possible to satisfy everyone's scheduling requirements, every effort will be made to
address the conflicts submitted on these pre-registration forms when the fall schedule is established.