N.GA Clogging & Dance Co.*NEW*Registration

Interested Dancers name: *

Age: *

What class are you interested in? *

(Select all that apply)

Beginner Clogging for Kids
Beginner Clogging for Adults
Intermediate, Advanced, or Competition Clogging (for those with some clogging experience)
Line Dancing for Beginners
Line Dancing for Advanced
Rhythm & Movement (2-5yo)

How may we contact you? *

Enter phone or email below...

Additional contact info?

If you would like to leave another form of contact add below. :)