Dance expression through quality instruction

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Your Name

First Name

Last Name

Parent's Name

First Name

Last Name

Referred By

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Email Address

Class Names, Days & Times

Please fill out the class name, the day and time that the class is on.

Total Number of Hours

No decimals. For halves/quarters use a space= 1 25

Tuition Amount

Downloadable Registration

2018 SummerRegistration.jpg