REGISTRATION FORM FOR 2018

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 deposit to Katrina Johnson, 508 Lake Meadows Dr., Rockwall, 75087.

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