Hart Dance Clinic

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Hart Dance Clinic

When: Saturday, October 15th from 2:00 to 4:30pm.

Where: Hart High School Gymnasium

Email *

Phone Number *

Dancer's Name *

Dancer's Grade and Age *

Parent or Guardian Name *

T-shirt Size: Every effort will be made to accommodate your size request, but it may not be guaranteed. *

Child S

Child M

Adult S

Adult M

Please pay $35 using the Venmo QR Code or the Zelle QR Code below to complete your registration.

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PLEASE LIST YOUR DANCER'S NAME WITH THE VENMO OR ZELLE PAYMENT!

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For questions or other payment options (cash or check) please contact Irina Matchie - 818-807-3043 or email harthighdanceteam@gmail.com

Yes, I have paid $35 through either Venmo Zelle (QR Code below)/

I have contacted Hart Dance for other payment options

I already paid through the codes form the Hart Dance Clinic flyer

Venmo Code

Zelle Code

A waiver for each dancer will be handed out and must be completed at the dance clinic check-in the day of the clinic at the Hart High Gym. *

Yes, I understand my dancer will need a signed waiver to participate in the Hart Dance Clinic.

Required

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