
Pre-register for lower rates.
Please make check(s) payable to the Dance
Factory.
To register, print out and fill in this registration
form, or list your home and work phone numbers, plus the
class & time you prefer, on your check and make
payable to Dance Factory. Then mail or bring to
Dance Factory
954 N. Monroe St.
Arlington, VA 22201
| Name: |
| Address: |
| City: |
State: |
Zip: |
| Home Phone: |
Office Phone: |
| Partner's Name (optional): |
| Partner's Phone: |
Office Phone: |
| Source: |
| |
| ENROLL ME IN THE FOLLOWING: |
| Class 1: |
Fee: $ |
| Day: |
Hour: |
| Class 2: |
Fee: $ |
| Day: |
Hour: |
| Class 3: |
Fee: $ |
| Day: |
Hour: |
|