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Faculty
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Parent / Guardian Name
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First
Last
Parent / Guardian Email
*
Parent / Guardian Phone Number
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Student Information:
Please enter registration information for ALL students enrolling. Class times and dates will be confirmed after form is received.
Dancer One
*
First
Last
Gender
*
Birthdate
*
Dancer Two
*
First
Last
Gender
*
Birthdate
*
Dancer Three
*
First
Last
Gender
*
Birthdate
*
Dancer Four
*
First
Last
Gender
*
Birthdate
*
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About
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