2021 Acton Woman's Club Dance Class Registration
2021 dates: 9 weeks -- Friday Sept 24, Oct. 1, 8, 15, 22, 29, Nov. 5, 12, 19

Please note that all * answers must be completed for your registration to be completed.
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E-mailadres *
Student First Name *
Student Last Name *
Student Street Address *
City/Town *
Zip Code *
Student's Grade in *Sept 2021* *
Student Gender *
Indicate which class times are your first and second choices
    5:40-6:40 pm for 5th and 6th graders, with an emphasis on beginning students
    7:00-8:00 pm for 5th and 6th graders, with an emphasis on students with one year of experience
    8:20-9:20 pm for 6th -10th graders, all levels of experience welcome


Your 1st choice *
Your 2nd choice (for 5th and 6th graders only) *
Your 3rd choice (for 6th graders only)
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