2018 Fall l'Ecole

Emily Carr Spring 2019
1. Fill out the required information
2. Choose the class
3. Click submit for payment
Student First Name: *
Student Last Name: *
Student's Birthday *

Month Day Year
Name of Parent1: *
Name of Parent2:
Street Address:
City:
Postal Code:
Home Phone: *
Cell Phone:
E-mail: *
Notes (Allergies, Special Needs, Shoe Size, etc):
Check if You Agree

D'Hercy can send you info about future classes
Classes: *

Hip Hop, Jazz & Tap $ 150.00 CAD

Tap Shoe Rental $ 12.00 CAD

Total $ 0.00 CAD
REGULAR SHOE SIZE
Should be Empty: