Valley Dance Productions

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Online Registration Form

Student's Name:

                  Age:

Parent's:

Mailing Address:
 * required
Email Address:
 * required
Phone:

Registering for:

Fall Classes
Summer Classes
Summer Camp

Please List Desired Classes:

Advanced
Intermediate
Beginner

How did you find out about us:

Friend or Family Member
Phone Book
Internet
 
Print

Valley Dance Productions. 17 Elm Avenue . Roanoke, VA  24016
Phone: (540)344-5633
Cell: (540)204-3275

larthur@valleydanceproductions.com

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