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Parent/Guardian Name *
Child's First & Last Name: *
Street Address: *
City, State, Zip *
Email: *
Phone Number: *
Which class are you signing up for? (If more than one, please list all)
(Jazzerettes, Hip Hop, Gymtyme, Yoga, Cheer, Dance)
School Name/School Location Child Attends *
I understand that this is a physical program and Jazzerettes & Gymtyme cannot be responsible for any injuries incurred. *
I understand class fees are due by the 7th of each month, and after the 7th a $6 late fee will be incurred *
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