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Wish Upon a Star Dance Company Registration - 2023-2024
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Student First Name
*
Your answer
Student Last Name
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Class Choice
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Twinkling Stars (Age 2) - Friday 10:00-10:30am
Tiny Stars (Ages 3-4) - Friday 10:30-11:15am
Sparkling Stars (Ages 4 & 5) - Wednesday 4:00-5:00pm
Shining Stars (Ages 6-8) - Wednesday 5:00-6:00pm
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
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Your answer
Address
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Does your child have any allergies or other concerns that would be helpful for me to be aware of?
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Do you consent for your child's photograph to be used on social media posts/promotions? (No identifying information will ever be used.)
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Questions or concerns:
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How did you hear about us?
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