Event Registration
*After completing the form below, an invoice will be emailed for payment* 

Event Timing: Friday, February 10  6:00-9:00 pm
Event Address: 7111 N. Alpine Rd, Loves Park 61111
Contact us at (779) 772-4174 or beauty.in.motion.dance.arts@gmail.com
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Child(ren) Name(s) *
Parent's Name(s) *
Home Address *
Parent's Phone Number(s) *
Parent's Email *
Any allergies/medical conditions? *
Emergency Contact (other than listed above) *
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