Crossroads Summer 2019 Registration Form
Thank you for your interest in our Summer Program. We are excited to welcome you/your dancer to Crossroads famly.

Please complete form below to register your dancer for our summer classes for 2019.

Please complete an individual form for EACH dancer in the family.

Email address *
Dancers Name *
Your answer
Dancer's Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Home Address *
Your answer
Phone Number *
Your answer
Are there any medical or allergies our staff needs to be made aware?
Your answer
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