Main Street Dance Hammond, Louisiana

Main Street Dance

Website URL

Main Street Dance Location

Hammond, LA
Slidell, LA

General Information

Student's Name *
Birthday *  /  /
Age *
Grade Level
Father's Name
Mother's Name
Mailing Address
City
State
Zip

Contact Information

Home phone  -  -
Work phone  -  -
Cell phone  -  -
Other phone  -  -
Email
Emergency Contact Ph. #1  -  -
Emergency Contact Ph. #2  -  -

Previous Dance Experience

Honors or Awards Received

Activities Involved in

Please list your child's favorite:

Color
Candy
Music Group

Are there any foods that your child is allergic to or does not like?

Is there a particular area you would like your child to improve on?

How did you hear about us?

Check the classes you are enrolling in

Baby Dolls
Angels
Lil Sweethearts
Princess
Showstoppers
All Stars
Superstars
Supermodels
Divas!
Hip Hop
Musical Theater
Summer Classes
Company Auditions
Just Tap
Other

Day and Time of class you are requesting.

Additional Information

Email address
To *
Subject *
Message *
Copy code to the box below
(This helps prevent spam) *

* Please note that fees should be sent via regular mail or in person.
Don't hesitate to call if you have any questions.

Copyright© 2007 Main Street Dance. All rights reserved. Legnd