Bingham Dance Center
Parents Name
Students Name
Address
Age
Phone
Email
Wee 1
Wee 2
Wee 3
Level 1a, 1a-b, 1b, 2
Level 3
Level 4
Level 5
Adult Classes
Dance Program
T
umbling Program
Cheer Program
Check all classes interested in and
someone will email or phone you within
a couple of days. Be sure and come to
the studio sometime between August
12th &16th to pay registration fee
.