2013/2014 Registration Form
Please submit this registration form along with mailing a $10 check (non-refundable) made payable to “The Milford Dance Center.” Make sure to fill in all contact information.
Registration fees are per child, and for fall registration only.
*A confirmation email will be sent after we receive your child’s registration. If you do not receive an email within
one week, please contact us.
Student Name
DOB
Age in September
Parent/Guardian Name
Address
Phone #
Email Address
Child’s School
Grade in September
Classes Interested In
(specify days & times)
Dance Experience
How did you hear about us?
Summer or Fall?
Thank you for choosing The Milford Dance Center!
