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BBGL Student Registration
Bboy Bgirl Lifestyle Breakin' Fundamentals & Skills
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Email
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Your email
PROGRAM TYPE
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3 MONTH INDIVIDUAL HIP HOP PRACTITIONER
1 MONTH INDIVIDUAL HIP HOP EXPLORER
1 SINGLE INDIVIDUAL CLASS TRIAL | TRYOUT
Part Of School / City / Town / Borough / Recreation Program
Parent Gaurdian Full name
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Your answer
Participant Full Name
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Your answer
Age
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Your answer
Address
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City
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Your answer
State
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Your answer
Zip code
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Phone number
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Your answer
Classes
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Age 2.5 - 6 Kids Breakin'
Ages 7 - 12 Bboys/Bgirls Breakin'
Ages 13 -17 Breakin'
Adult 18+ Breakin' /Fitness
Private
School / City / Town / Borough / Recreation Program
Other:
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