Limelight Dance
2019-2020 Registration Form
(Each dancer must be registered separately)
Name of Student (First and Last) *
Your answer
Student Age *
Your answer
Student Birthday (mm/dd/yy) *
MM
/
DD
/
YYYY
Name of Parent/Guardian (First and Last) *
Your answer
E-mail (Parent/Guardian) *
Your answer
Phone Number (Parent/Guardian) *
Your answer
Address (Street, City, Zip Code) *
Your answer
Comments - If there are any allergies, medical emergencies, or personal family situations please list them here.
Your answer
Thank you for registering your dancer!
You are Limelight. We are family.
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