Pittsford Dance Studio - Class Registration

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ON-LINE REGISTRATION

08 - 09 Class Schedule Tuition and Fees - (pdf)
There is a $25 non-refundable registration fee per student per year

Fields marked * are required

Parent Name *

Student Name *

Address

City

Zip

Email *

Home Phone *

e.g. 585-123-1234

Cell Phone

Emergency Contact Number

Emergency Contact Name

Age of Student *

Date of Birth *

e.g. 02/05/2002

Dance Experience

Class to enroll in *

I agree to PDS terms and
conditions *

Security Code:

Please enter the 5 character code you see in the image to the left.
Code:

BFN Secure Web Mail System

2851 Clover Street Pittsford, NY 14534 - 585-381-5460