TooHip! Class Registration Form

TooHip!
227 Walnut Street
Peekskill, NY   10566

(914)438-5302

www.TooHipDance.com

To register for classes print this form and mail with your payment to the address listed above.  Please make checks payable to TooHip!. 

 

                                                                                                                    Total $ enclosed ________________

Name_______________________________________________________________________

Address____________________________________________ Apt. # __________________

City, State   Zip______________________________________________________________

Phone (day)_____________________________ Phone (eve)________________________

E-mail_______________________________________________________________________

How/where did you hear about TooHip! ?____________________________________
(If referred by current student, please name.)

Office Use Only:

AS __________

DB __________

CC __________

BD __________

Date: __________


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