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Ah-Lan Dance 2018 Summer Dance Camp Registration
Registration Form for Ah-Lan Dance 2018 Dance Camp Program
Student's Name *
Your answer
Student's Age (if under 18) *
Your answer
Parent / Guardian Name (if student under 18)
Your answer
Student's Address (Street, City, ZIP) *
Your answer
Home Phone *
Your answer
Cell Phone (parent's / guardian's if student under 18) *
Your answer
Work Phone
Your answer
Email (parent's / guardian's if student under 18) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number 1 *
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Emergency Contact Phone Number 2
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Camp Session Selection 1
Select One Session
Camp Session Selection 2
Select One Session
Optional Classes and Activities
Please write any questions or comments here:
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