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Dance Registration
Louise Wright Dance
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Parent/Guardian's Full Name
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Child's Full Name
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Child's Date of Birth
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Child's Gender
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Female
Male
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What are you signing up for?
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Weekly Dance Classes Thursday
Weekly Acro Class Wednesday
Half hour 1 to 1 Private lesson - Child or Adult £15
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E-mail
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Contact Number
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Format 0xxxxxxxxxx No Spaces
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Home Address
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Medical Notes and Allergies
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Any Additional Information
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How did you hear about Louise Wright Dance?
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