Rising Stars 2019-2020 Registration Form
There is a $25 non refundable registration fee due upon enrolling for each student.
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Email *
Dancer's Name
Dancer's Age
Dancer's Birthdate
Parent/Guardian Name
Phone Number
Mailing Address
Email Address
School Attending
Previous Experience
Please select the class you wish to register for
Name on Credit Card
Credit Card Number
Credit Card Expiration Date
I give Rising Stars Permission to charge the above card
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