NEW STUDENT REGISTRATION FORM
For further assistance or questions please call or text (305) 246-0633 
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Parent Name *
Street Address *
City, State, Zipcode *
Phone Number *
Email *
Child's Name 1 *
Child's Birthday *
Allergies
Child's Name 2
Child's Birthday
MM
/
DD
/
YYYY
Allergies
Emergency Contact Name *
Emergency Contact Phone Number *
STYLE OF DANCE *
Required
Once payment is received via Zelle, your child's spot will be held for the Fall 2022-23 session. Please note,  if you do not complete the registration payment after filling out this form, your child's spot will NOT be held. Please put your child's name in the Zelle description. Our Zelle is pdancestudios@gmail.com
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