2009-'10 Registration

Gloria Frances School of Performing Arts

Please fill out the registration form below.
Your registration WILL NOT BE COMPLETE until we receive your non-refundable $25.00 registration fee (per student). If you have any questions or difficulties submitting your registration via the website, please call the office at 973-835-3304.

Students Information:

First Name:

Last Name:

Birthdate:

Age:

Address:

City & State:

Zip Code:

Home Phone:

Cell Phone or Emergency Phone:

Parent /Guardian Name:

E-Mail Address:

Medical Information:

Course(s) Desired:

1st Class:

2nd Class:

3rd Class:

4th Class:

5th Class:

6th Class:

Day(s) Preferred:

Previous Training:

Payment:

Credit Card:

Expiration Date:

* required

If you accept, agree and understand the terms, polices and procedures stated on the website and in the 2009'10 brochure, type the word ACCEPT in the text box above.

Gloria Frances School of Performing Arts
2124 Hamburg Turnpike
Wayne, New Jersey 07470

973-835-3304

Fax- 973-835-3389

"Educators in the Art of Dance Since 1963"