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Majestic Diamonds Registration
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* Indicates required question
Email
*
Your email
Dancer's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
Your answer
Parent's Name
*
Your answer
Phone
*
Your answer
Email
Your answer
List any medical condition (such as allergies or medication)
*
Your answer
List Emergency Contact (Name, Phone, Relation)
*
Your answer
List Emergency Contact (Name, Phone, Relation)
Your answer
Send Registration payment:
Cash or
Cashapp -$MajesticDDS
Your answer
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