Rangeela Rockstars Registration 2019
January - April 2019
About Us
RDC is Seattle's Premier Bollywood Fusion dance company. Our mission is to spread awareness about the vibrant South Asian culture through the form of dance. We are composed of a rock-star group of female dancers and instructors with incredible experience ranging from Bollywood, Classical Indian, Semi-Classical, Hip Hop, Bhangra, Garba, Modern and more.

This year, RDC is excited to launch our Seattle East-Side Kids Bollywood dance classes starting January 27th, 2019! Please complete the registration form to reserve your child's spot in class. Feel free to forward this form to your friends!
Questions? Contact info@dancewithrangeela.com or call us at 781.738.0108.

Student's Full Name *
Your answer
Student's Birth Date *
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Student's Age *
Your answer
Student's Address, City, Zip Code *
Your answer
Parental Guardian Name (s) and Relationship to Student *
Your answer
Emergency Contact (Name) *
Your answer
Emergency Contact (Relationship to Student) *
Your answer
Emergency Contact (Telephone) *
Your answer
Is this your child's first dance class? If not, how many years has your child been dancing for and in which styles of dance? *
Your answer
How did you hear about Rangeela Dance Co.? *
Your answer
Does your child have any medical conditions that we should be aware of? *
Your answer
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