Childs Name *

First Name

Last Name

Birth Date *

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Parent's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone Number *

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Class Type

All classes are full except Ballet 2 for ages 7-11. Please contact emily@gpacweb.com to be added to a wait list. *

Ballet 2 - Wed 4:45-5:45 (Age 7-11) $300

Method of Payment *

There is a $25 deposit due at the time of registration in order to hold your space. The balance less the deposit will be due on the first day of class. Please inquire if a payment plan is needed. Payment can be made online at www.mkt.com/gpac

Check - mailed to 1801 Exeter Rd, Germantown, TN 38138 - Attn. Emily Hefley

Online

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