New Student Pre-Registration

Hello and Welcome to The Melfort Dance Centre!

By filling out this form, we will be able to better assist you in the finding the right classes for your child.

We look forward to getting to know you and your future dancer!

(This is not an official registration to our programs and no money is required or exchanged in completing this form)

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

E-mail Address *

Secondary Email Address

Phone Number *

Secondary Phone Number

City/Town *

Relationship To Dancer *