Panko Dancesport Studio
The Most Fun You Can Have On The Dance Floor

IMPORTANT!! 

 

 

Please DO NOT send credit Card information via email. The studio will contact you with confirmation of your registration and take payment over the phone or in person.

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First Name

Last Name


Male


Female

Address

City/Province

Postal Code

Home Phone

Work/Cell Phone

Email address

Partner First Name

Partner Last Name

Class to register in

Additional Classes/ Notes


Visa


Mastercard


Cash/ Debit


Dance Card

 

 

 

REGISTRATION FORM - PLEASE FILL OUT COMPLETELY

  Registration Online

Students

Please register early to secure your place in the day and time of your choice. Remember... class size is limited.

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