CLASS REGISTRATION FORM

Please fill out the form below to reserve a spot in one of our classes. Once you click submit, you will be redirected to the Wesbrook Community Centre website where you can select the appropriate class, finish registering and make a payment.

*For the Adult Ballet class, please click and fill out the form at the bottom of this page.

Class

Parent/ Guardian Name

First Name

Last Name

Child's Name

First Name

Last Name

Child's Birthdate

MM

DD

YYYY

Contact E-mail

Contact Phone Number

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Additional Comments

Adult Registration

Class

Name

First Name

Last Name

Contact Email

Contact Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Additional Comments