Registration Form

Please complete the registration form and the areas marked with an asterisk are important. If you are a new student please also complete the Photo Release and Ethnic Dress Forms.

Please bring your cheque to the first day of class made out to Shan-e-Punjab Dance School.

T-shirts can be purchased during the first few weeks. However, are on hold right now.

Please note there are no refunds, particularly if your child/children can not attend due to personal commitments.

Payment can be made by e-transfer to shan.e.punjab1993@gmail.com or by cash/cheque in person.

Name

First Name

Last Name

Name

First Name

Last Name

Name

First Name

Last Name

Age

Email Address

Any Allergies, conditions, injuries etc that we should know about

Gender

Female

Male

Parent/Guardian Name

First Name

Last Name

Name 2

First Name

Last Name

Price

$125.00 Basic Dance Fee

$60.00 Dress Rental Fee (New Students only)

Fall Semester (Sept-Dec)

Winter Semester (Jan-April)

Emergency

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Work

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Home

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Cell

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