ADULT registration form
Classes are offered for students 18 and over. All ages welcome.
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Student's First Name *
Student's Last Name *
Age
Birthday
MM
/
DD
/
YYYY
Street *
City *
Zipcode *
 Phone Number (List the best number to reach you) *
Email Address *
Emergency Contact Name *
Emergency Contact Phone Number *
If you are a new student to Steppin’ Out, please tell us how you heard about us.
If you are a returning student, how many years have you danced with us?
What class(es) were you enrolled in last year?:
Tap
Jazz
Ballet
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