Laura's Dance Studio Registration Form 2019-2020
To register, submit this form and return payment (cash or check only) to Laura's Dance Studio 618 Springfield Avenue, Berkeley Heights NJ 07922
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Email *
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Student's First and Last Name *
Age *
Birth Date *
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2nd Student's First and Last Name
2nd Student's Age
2nd Student's Birth Date
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Today's Date *
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Address *
City *
Zip Code *
Phone Number *
By signing below I understand that Laura's Dance Studio is not responsible for injuries while in class or on the premises.
Parent or guardian's Name/Signature if under 18 years of age *
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