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Registration
For 2020-2021 $25.00 Registration fee
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Email
*
Your email
Email address
*
Your answer
Parent/Guardian Name:
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Your answer
Cell Number
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Your answer
Address:
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Your answer
Students Name:
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Your answer
D/O/B Age:
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MM
/
DD
/
YYYY
Childs Shirt size
*
Your answer
Previous Training
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Yes
No
Name of Previous Dance Studio____________________________________________________
Past Training: Style/Years__________________________________________________________
How did you hear about 6 Steps Before the Lord?
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Phone Number:
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Your answer
Medical Insurance:
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Your answer
Any Medical Issues
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Yes
No
Please Indicate:
Any Allergies
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Yes
No
Please indicate:
Which session would you like to attend?
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Mini Breakers ages 4-6 Wednesday @ 6:20pm
Breaker 2 ages 6-up intermediate Wednesday @ 7:10pm
Breaker 1 beginner ages 6 and up Thursday @ 6:20pm
Breaker 2 intermediate ages 6 and up Thursday @ 7:10pm
Breaker 1 beginner ages 6 and up Saturday @ 9:50 am
Breaker 1 beginner ages 6 and up Saturday @ 10:40 am
Breaker 2 intermediate ages 6 and up Saturday @ 11:30 am
Breaker 2 intermediate ages 6 and up Saturday @ 12:20 pm
Battle Squad/Performance Team @ 1:10 pm
Would you like to attend class at the Studio
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yes
No
Would you like to attend via Zoom
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Yes
No
Would you like to do both Studio & Zoom
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Yes
No
Payment
*
Monthly
Yearly
There will be additional discounts for families with more than one student. Additionally, for those who wish to pay full year in advance, there will be also a discount.
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