Crossroads Summer 2019 Registration Form
Thank you for your interest in our Summer Program. We are excited to welcome you/your dancer to Crossroads famly.

Please complete form below to register your dancer for our summer classes for 2019.

Please complete an individual form for EACH dancer in the family.
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Email *
Dancers Name *
Dancer's Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Home Address *
Phone Number *
Are there any medical or allergies our staff needs to be made aware?
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