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2022-2023 Season: Student Trial Class Registration Form
Tip Toes and Taps Dance and Tumble Zone
Address: 452 West Martintown Road, North Augusta, SC 29841
Website:
www.tiptoesandtaps.net
Email:
info@tiptoesandtaps.net
Phone: 803-278-3841
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* Indicates required question
Email
*
Your email
Student's Full Name (as it appears on their birth certificate)
*
Your answer
Does your child have a nickname that they like to go by? If so, please list it here.
Your answer
Please select the gender of the student.
*
male
female
Street Address or PO Box
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
School student Is attending
*
Your answer
Grade for 2022-2023 school year
*
Your answer
Please list any location student has danced, tumbled and/or cheered. (example: Tip Toes and Taps, Gateway, etc.)
*
Your answer
Please list any previous experience student has in dance, tumbling and/or cheer (example: 2 years ballet and tap, 1 year hip hop, etc.)
*
Your answer
How did you hear about Tip Toes and Taps Dance and Tumble Zone?
*
Friend
Social Media (Facebook, Instagram, Snapchat, etc.)
Employee of Tip Toes and Taps Dance and Tumble Zone
Other (Please fill in the space below to let us know how you heard about us.)
If you answered other above, please let us know how you heard about Tip Toes and Taps Dance and Tumble Zone in the space below.
Your answer
Parent/Guardian's First and Last Name (as it appears on ID - a copy of your drivers license or photo ID required)
*
Your answer
Parents Cell Phone Number
*
Your answer
Home Phone (If different from cell)
Your answer
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