Toddlers' Tango Registration Form
Please print out this page, fill in the form, and mail it, along with the registration fee, to the instructor listed below.

Child's name:

Child's age:

Parent's name:

Address:

Phone #:

E-mail address:

Which session would you like to register for?

Location:

Session start date:

Day/time slot:

****Six week sessions are $60, four week sessions are $40, unless otherwise noted on the website. 10% discount for two children.
Please mail this form, along with the appropriate registration fee, to:

Diane Hall
Toddlers' Tango Babies Boogie & Seniors Samba
6320 Meridan Road
Jamesville, New York 13078