Dancer's Name _______________________________________________________
Parents' Name________________________________________________________ Cell Phone ___________________________________________________________ Email Address ________________________________________________________ Home Address ________________________________________________________ City, State, Zip ________________________________________________________ Dance Level __________________________________________________________ Any medical issues that Ms, Laura should be aware___________________________ _____________________________________________________________________ _____________________________________________________________________
$25 registration fee due at signing.
*$5.00 credit if you have a friend register with Tip Tap Toe.*