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Lorenz Latin Dance Studio- Glendale Registration
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Email *
Untitled Title
First Name *
Last Name *
Email *
Address
Emergency Contact Name & Number
Phone number *
What class(es) are you registering for?
Preferred Payment Options (No Cards Accepted) *
Studio Policies + Aggreement of Release & Waiver of Liability 
COVID Liability Form
Type full name & initials here to digitally sign the 'Agreement of Release & Waiver of Liability' and 'COVID Liability' forms above. *
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