Dance Registration & Info.

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Name*
First Last
Email*
Phone*
Best phone to reach you.
Address*
Street Address Address Line 2 City State ZIP Code
What is your child's age?*
Emergency Contact & Phone Number*
Allergies or Medical Conditions?*
List preferred class selection day and time*
Select Payment Method*
- Pay with Card on File
- I do not have a Card on File
Permission to use Photos of my Child?*
- Yes
- No
Do you agree to the terms of the participation waiver?*
You read, agree and provide your consent according to terms of the participation waiver contained in the dance registration.
- Yes

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