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EMDC Registration Form
Welcome to the 2023-2024 dance year! Classes start Tuesday, September 5th, 2023. Please fill out one form per dancer.
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* Indicates required question
Student Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Parent/Guardian Name
*
Your answer
Parent/Guardian Cell Phone
*
Your answer
Home Phone
Your answer
Email Address (this will also be your login for the parent portal)
*
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Cell Phone
Your answer
Mailing Address
*
Your answer
Are there any medical conditions we need to be aware of?
*
Your answer
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