Adult Tap Series
Ages 18+ - Fridays 6:30-7:30PM
11/01-11/22 - $65.00 Per Person for 4 Week Series
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Primary Phone Number *
Home Address *
Emergency Contact Information *
Payment Method *
I understand that if I am sending payment by cash/check, I must either bring it into the studio or mail it to PO Box 572 Ipswich, MA 01938 no later than 10/25. I also understand that if I am paying by credit card, I must call MDS at 978-948-2416 to make payment over the phone no later than 10/25. *
Please list any dance experience if applicable or list "N/A" if you do not have any. *
I understand that I am financially committing to the 4 Week Series Price of $65.00 regardless of attendance. *
How did you hear about MDS? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy