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Art of Kathak Dance School: Class Registration Form
Class Registration Form
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Email *
Student's Name *
Parent's Name (if Student is under 18)
Parent/Guardian should be completing form for Student under age 18
Student's Age and Date of Birth *
Student's/Parent's Email Address *
Student's/Parent's Phone Number
*
Which semester would the student like to enroll in? *
Which dance style is the student registering for? (More than one option may be selected) *
Required
Which location is most preferable for class? *
Required
How did you hear about us? *
Did someone refer you? If yes, who? *
Does the student have any allergies (food or otherwise)? *
Does the student have any health conditions we need to be aware of? *
Is the student interested in performing at events around town? *
Please acknowledge all fees are non-refundable, and there is a one time registration fee of $50. *
Required
A copy of your responses will be emailed to the address you provided.
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