Christ Center for Dance - DLT Registration Form

Christ Center for Dance
3824 Jasper Street
Studio 202
Philadelphia, PA 19125
ph: 888.886.4354
fax: 888.886.4354

DLT Registration Form

*First Name:

*Last Name:

*How will you be attending classes:

PHL Campus Online/Conference Call

*Email:

*Mobile Phone:

Contact Preference:

Address Line 1:

Address Line 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Join Mailing List?

Please add me to your mailing list.

Tell Us About Yourself and Your Dance Ministry Experience:

Submit Your Message:

Once we receive your application, we will send out a confirmation email detailing how to proceed.

Christ Center for Dance
3824 Jasper Street
Studio 202
Philadelphia, PA 19125
ph: 888.886.4354
fax: 888.886.4354