Sing 'N' Dance Registration
Please fill out the form to register for Sing 'N' Dance with Laura. Payments can be made via email money transfer to laurabeglindance@gmail.com.
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Email *
Parent/Guardian LAST Name *
Parent/Guardian FIRST Name *
Primary Phone *
Primary Phone Type *
Mobile Phone (If Different from Primary Phone)
Emergency Contact *
Please indicate who to contact in the event of an emergency, along with their phone number(s).
Child 1 Name (First and Last) *
Child 1 Birthday *
MM
/
DD
/
YYYY
Child 1 Allergies/Medical Conditions?
Please let me know if your child has any allergies or medical conditions you would like me to be aware of.
Child 1 Class (Choose All That Apply) *
Required
Child 2 Name (First and Last)
Child 2 Birthday
MM
/
DD
/
YYYY
Child 2 Allergies/Medical Conditions?
Please let me know if your child has any allergies or medical conditions you would like me to be aware of.
Child 2 Class (Choose All That Apply)
Child 3 Name (First and Last)
Child 3 Birthday
MM
/
DD
/
YYYY
Child 3 Allergies/Medical Conditions?
Please let me know if your child has any allergies or medical conditions you would like me to be aware of.
Child 3 Class (Choose All That Apply)
A copy of your responses will be emailed to the address you provided.
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