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Latin Dance Registration Form
Contact us with questions:
(818) 889-5400
https://dmballroom.com/osd-after-school-program
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Email
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Please sign my child up for the 4-week Introductory Classes from Jan. 24th - Feb 15th for the following times (check one):
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Tuesdays, 2:15 - 3:30 p.m. and Wednesdays, 1:15 - 2:30 p.m.
Tuesdays, 3:45 - 5:00 p.m. and Wednesdays, 2:45 - 4:00 p.m.
My child is interested in auditioning to be part of the Performance Team that will continue meeting the same times from February 21st through June 2nd.
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Student First Name
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Student Last Name
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Student's Classroom Teacher's Name
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Parent/Guardian First Name
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Your answer
Parent/Guardian Last Name
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Your answer
Parent/Guardian Cell Number
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Parent/Guardian Email Address
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Home Phone Number (or alternate number)
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Your answer
Emergency Contact First and Last Name (Must be 18 years or older)
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Your answer
Emergency Contact Relationship to Student
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Emergency Contact Cell Number
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