Child's Name (required) Your Email (required) Tell us a little about child. Has danced before? Are there Line Dances they'd like to learn? Do you have questions? Are you registering more than one child? What are names and ages of additional children. Parents Name (required) Your phone number How old is child? What school does child go to? What grade is child in? By submitting this form, you agree allowing your child to attend 4 days of Line Dance lessons (March 26 - 29 from 1 to 3 PM and perform for parents and friends on Saturday, March 31st again from 1 to 3 PM. You give Holder's permission to use photos and videos that may be taken during class or Expo for Holder Family Fun Center promotional purposes. Holder's will not sell your video or photos. Parents must submit this form for your child/children and give permission for their participation.