Fall Class Registration

Student Information

Student First Name *

Student Last Name *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Student Age *

Emergency Contact Information

Please provide at least one other contact for use in case of emergency.

First Name *

Last Name *

Phone Number *

Relation to Child *

First Name

Last Name

Phone Number

Relation to Child

Preferred Hospital

Insurance Company

Insurance Policy #

Insurance Phone Number

Medical Information
(Please list any medical information that the instructor/director should be aware of: allergies, medications, medical conditions, etc.)

Class Options

Below are the fall classes we are offering.

Tap for Beginners : all ages
Sept 24th - Oct 29th
Thursdays from 6:30 to 8:00 PM

Tap for Beginners

Little Sprouts Storytelling: 3-5 yrs of age
Sept 26th to Oct 31st
Saturdays from 9:00 to 9:45 AM

Little Sprouts Storytelling

Scholarship Donations

Every semester PACE offers scholarships to families in need. If you are able to donate, we would greatly appreciate it.

PACE works to make our classes, camps, and productions available to all families in our community. If you are able, please consider donating to students in need of a scholarships.

Total Amount Due

If you have more than one child taking classes, select the Multi-child 5% discount below.

Multi-child 5% discount

If your child is taking more than one class, select the Multi-class 5% discount below.

Multi-class 5% discount

Calculate Total with all discounts and donations included.

$0.00

Please continue to review your registration and pay using PayPal