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SPECIAL PROGRAM Registration Form
IMPORTANT: Registration is only complete once the Program Fee is paid in full. Fees are non-refundable after the third week of the program start date. A 20% admin fee will apply to all refunds.
PLEASE REFER TO WEEKLY SCHEDULE on website to ensure you are enrolling your son/daughter in the correct class.
Email address *
PRIMARY / BILLING INFORMATION
Please complete the information for the individual that will receive ALL studio communication including but not limited to financial responsibilities, studio events, EDC Newsletter, etc. Must be of legal age to complete registration.
PRIMARY / BILLING CONTACT PHONE: *
Please include full area code and number. Example: 123-456-7890
Your answer
EMERGENCY CONTACT NAME *
FIRST NAME & LAST NAME
Your answer
EMERGENCY CONTACT - Relationship to Dancer(s) *
Your answer
EMERGENCY CONTACT PHONE *
Please include full area code and number. Example: 123-456-7890
Your answer
Would you like an additional person to receive studio communication? *
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