Ailey Arts in Education Modern Dance Workshop
April 29, 2018

3:00 -5:00 PM

Nimbus Dance Works
165 Newark Avenue
Jersey City NJ


Registration is required as space is limited. PLEASE COMPLETE REGISTRATION FORM FOR EACH PARTICIPANT

Participant - First Name *
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Participant - Last Name *
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Parent/Guardian - Full Name (write N/A if over 18) *
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Email Address (Participant OR Parent/Guardian ) *
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Phone Number (Participant OR Parent/Guardian) *
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