Summer Program Registration
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Email *
Parent/Guardian Name: *
Parent/Guardian Cell Phone Number: *
2nd Parent/Guardian Name:
2nd Parent/Guardian Email:
2nd Parent/Guardian Cell Phone Number:
Family Street Address: *
City, State, Zip: *
How did you hear about Gloria Deo School of the Arts? *
Dancer 1 Name: *
Dancer 1 Age: *
Dancer 1 Birthdate: *
MM
/
DD
/
YYYY
Dancer 1 Previous Dance School(s): *
Dancer 1 Years of Previous Training: *
Dancer 1 Other Forms of Dance Studied: *
Dancer 1 Class(es): *
Required
Register another dancer? *
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