Vare Recreation Center

Vare Recreation Center Registration Form

Fill out the form carefully for registration. Classes are held Mondays 4pm-5pm
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Dancer Age
Courses

Registration Fee

One Time Required Registration Fee

$100.00 Quantity
Item subtotal:

Total

Vare Recreation Center Registration Form