REGISTRATION

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2023-2024 Dance Season

PARENT INFORMATION

* Indicates required field

Parent Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

DANCER'S INFORMATION

Dancer's Name *

First

Last

Dancer's Birthdate *

Age *

Any Health Concerns? *

CLASSES THIS CHILD IS REGISTERING FOR: (Please include class day, time & type of dance) Example: Mon 4:30 Competition Hip Hop *

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