Adult Program Registration

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Adult Program Registration

PLEASE PRINT OR SAVE A COPY OF THIS AGREEMENT FOR YOUR REFERENCE. Click the three vertical dot in the upper right corner of this window and select print after completion.

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* Indicates required question

Email *

Your email

Dancer Name, (First & Last) *

Your answer

Mobile Number *

Your answer

Email for important correspondence *

Your answer

Any allergies or health issues we should know about? *

Your answer

Emergency Contact: Name, Relationship & Phone *

Your answer

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