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UV | Training Program Registration Form
WELCOME TO UNIVERSESOUL DANCE!
Please complete the following form. Remember to click submit at the end.
If you have any questions, email info@universesouldance.com!
We're so excited to dance with you!
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* Indicates required question
First Name
*
If dancer prefers a specific name/nickname, please specify below in brackets.
Your answer
Last Name
*
Your answer
Email Address
*
Please provide the correct email address that will receive all studio information, updates and transaction receipts. Incorrect emails may result in missed receipts. Request for receipts for tax purposes will result in $55.00 + GST admin retrieval fee.
STUDENTS UNDER THE AGE OF 18 MUST PROVIDE THE EMAIL OF THEIR PARENT/LEGAL GUARDIAN. NO EXCEPTIONS.
Your answer
Phone Number
*
(XXX) XXX-XXXX
Your answer
Home Address
*
Address, City, Postal Code
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current Age
*
Your answer
Referral Type
*
A member of the UV Community
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