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Mid-County Dance Summer 2021
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Email
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Your email
Dancer's Name
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Your answer
Parent(s) Name
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Phone Number
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Do we have permission to text this number?
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Address
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Dancer's Birthday *
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Please Select which class(es) you will be registering for
Tuesday 4:30-5:30 Tap/Ballet/Jazz Age 3-4
Thursday 4:30-5:30 Tap/Ballet Jazz Age 5-7
Thursday 5:30-8:30 Tap/Ballet/Lyrical/Jazz Age 8+
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Please list name(s) and emails of additional family members who would need to be included in email blasts
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How did you hear about us?
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Any previous experience? How long and where?
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