Passaic Class Registration

please submit the form once per child

Choose Class*

Voice and Dance $210 Drama $250

Voice 2nd-3rd 10:00am

Voice 6th-8th 11:00am

Voice 4th-5th 12:00pm

Dance 4th-5th 10:00am

Dance 2nd-3rd 11:00am

Dance 6th-8th 12:00pm

Drama 6th-8th 10:00am

Drama 4th-5th 11:00am

Total

First Name*

Last Name

Address

City

State

Zip

Email*

Telephone

School

Grade

Father’s Occupation

Mother’s Occupation

Newsletter

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Contact us

1149 East 17th St Brooklyn, NY 11230
718-258-5391
info@ratzonprogram.com