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2022-2023 Dance Season
A $30 non-refundable registration fee will be invoiced once this form is filled out to reserve your registration requests.
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* Indicates required question
Email
*
Your email
Dancer's Full Name
*
Your answer
Birthdate (Month, Day, Year)
*
Your answer
Academic Grade 2022-2023
*
Your answer
Mailing Address
*
Your answer
Guardian 1 Name, Phone # and Email
*
Your answer
Guardian 2 Name, Phone # and Email
*
Your answer
Emergency Contact 1 (Name, Relationship and Phone #)
*
Your answer
Emergency Contact 2 (Name, Relationship and Phone #)
*
Your answer
List Class Selections for 2022-2023 Dance Season
*
Your answer
Payment Plan
*
Early Bird (July 31, 2022 full payment with 5% discount applied)
2 Split (August 31 and October 31 no discount applied)
4 Split ( August 31, September 30, October 31 and November 30)
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A copy of your responses will be emailed to the address you provided.
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