REGISTRATION FORM FOR 2017

CHILD'S NAME________________________________________________________
                 first                                                last
CHILD'S DOB_________________________________________________Age____

Additional child______________________________DOB______________Age_____

Additional child______________________________DOB______________Age_____

PARENT'S NAME_______________________________________________________

PHONE ________________________CELL__________________________________

ADDRESS____________________________________________________________

_____________________________________________________________________
City                                                                              zip

EMAIL________________________________________________________________


PREFERRED CLASS DATE AND TIME_______________________________________

Please mail to Katrina Johnson, 508 Lake Meadows Dr., Rockwall, 75087 with a
$50 deposit for
each child in class lessons.

$100 deposit first child in private lessons and $50 for each additional
children in private lesson class.
Thank you.