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Faculty
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Mathews Market Days Performances
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Rise with the Tide
Seasons of Mathews
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Home
About
Faculty
Location
Classes
Events
Mathews Market Days Performances
>
Rise with the Tide
Seasons of Mathews
Guardian's Contact Information:
(Or Dancer If Over 18 Years Old)
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Mailing Address
*
If this contact cannot be reached in the case of an emergency, who should we contact?
Name
*
First
Last
Phone Number
*
Please include an email if this adult will need to receive email updates about class.
*
Billing:
If the guardian listed above will not be making tuition payments please provide contact information for whoever will be handling the account:
Name
*
First
Last
Email
*
Phone Number
*
Student Information:
Please enter registration information for ALL students enrolling. Class times and dates will be determined after form is received.
Dancer One
*
First
Last
Birthdate
*
Gender
*
Dancer Two
*
First
Last
Birthdate
*
Gender
*
Dancer Three
*
First
Last
Birthdate
*
Gender
*
Dancer Four
*
First
Last
Birthdate
*
Gender
*
Submit
Home
About
Faculty
Location
Classes
Events
Mathews Market Days Performances
>
Rise with the Tide
Seasons of Mathews