DON"S DANCE WORLD REGISTRATION FORM Student Name______________________________________ Age__________ Birthday___________________ Address___________________________________________________________ Telephone__________________________ Mother_______________________ Father_____________________ Enroll in: Class___________________________ Day_______________________ Time___________________ Class___________________________ Day_______________________ Time___________________ Please enclose a registration fee of $10 ($15 per family) and first month tuition. **************************************************************** PLEASE DETACH, MAKE CHECK PAYABLE TO DON'S DANCE WORLD AND RETURN TO: Don's Dance World 268 Drexel Avenue Lansdowne, PA 19050-1314 For additional information call 610-622-6029.