Lakeshore Academy of the Arts - Contact / Registration - North Muskegon, MI
Lakeshore Academy of the Arts                -
*PLEASE COMPLETE ONE REGISTRATION FORM PER STUDENT!

*PLEASE INCLUDE YOUR $20.00 REGISTRATION FEE IN ORDER TO SECURE YOUR SPOT IN CLASS! (NOT TO EXCEED $40.00 PER FAMILY)

*PLEASE CHOOSE A SECONDARY OPTION FOR CLASSES JUST IN CASE!
STUDENT REGISTRATION FORM

LAKESHORE ACADEMY OF THE ARTS STUDENT REGISTRATION FORM
NAME OF STUDENT:
PHONE NUMBER (S)
EMAIL:
MAILING ADDRESS
LOCATION OF CLASS:
NORTH MUSKEGON
SPRING LAKE (WMAAA)
SPRING LAKE (EAST)
DESIRED DANCE CLASS
CLASS TITLE / DAY / TIME
CLASS TITLE / DAY / TIME
CLASS TITLE / DAY / TIME
TELL US ABOUT YOURSELF: (PRIOR DANCE EXPERIENCE / KNOWN MEDICAL CONDITIONS / CURRENT MEDICATIONS / PHYSICAL LIMITATIONS)
DATE OF BIRTH:
PARENT / GUARDIAN NAME (S):
*PLEASE INCLUDE YOUR $20.00 REGISTRATION FEE IN ORDER TO SECURE YOUR SPOT IN CLASS! (NOT TO EXCEED $40.00 PER FAMILY) *SEE ONLINE STORE!

QUESTIONS / INQUIRIES ONLY: 

First Name:
Last Name:
Company:
Email:
Phone:
Address 1:
Address 2:
City:
State:
Zip:
Comments:
 


Contact Us at:   231-638-7542
or email us at:  [email protected]
 
MAILING ADDRESS:
LAKESHORE ACADEMY                                                   
18883 148th Avenue
Spring Lake MI 49456
 
 
 
 
 
 
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