Registration Form 2020-2021
(Each dancer must be registered separately)
Name of Student (First and Last) *
Student Age *
Student Birthday (mm/dd/yy) *
MM
/
DD
/
YYYY
Name of Parent/Guardian (First and Last) *
E-mail (Parent/Guardian) *
Phone Number (Parent/Guardian) *
Address (Street, City, Zip Code) *
Comments - If there are any allergies, medical emergencies, or personal family situations please list them here.
Please read and electronically sign be checking the box below. *
Captionless Image
Required
Thank you for registering your dancer!
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