LEAH AND MADELINE MASTER CLASSES
PLEASE FILL OUT THE INFORMATION BELOW TO PARTIALLY SECURE YOUR SPOT FOR OUR MASTERCLASS SERIES ON LEAH ROGA- SEPTEMBER 3RD AND/OR MADELINE MASSINGILL- SEPTEMBER 25TH HELD AT SE23 STUDIOS.
Email *
MASTER CLASS FLYER
LEAH ROGA INFO:
MADELINE MASSINGILL: INFO
PRICING: (PAYMENT DUE TO SECURE SPOT)
LEAH ROGA: SEPTEMBER 3RD - $40.00
MADELINE MASSIGILLA: SEPTEMBER 25TH $40.00
BOTH: $65.00
DANCER FULL NAME - IF YOU HAVE MULTIPLE DANCERS TO SIGN UP PLEASE SEPARATE THEIR NAMES WITH A COMMA.  *
STUDENT/S CURRENT AGE - IF YOU HAVE MULTIPLE DANCERS SIGNING UP PLEASE IN THE SAME ORDER AS LISTED ABOVE SEPARATE THEIR AGES WITH A COMMA. *
PARENT/GUARDIAN NAME *
PARENT/GUARDIAN CONTACT NUMBER *
PARENT/GUARDIAN EMAIL *
PLEASE CONFIRM IF YOU ARE SIGNING UP FOR 1 CLASS OR BOTH FOR THE DISCOUNTED RATE *
CLASS/ES YOU ARE WANTING TO SIGN UP FOR? *
Required
Does your dancer/s currently dance at SE23 Studios? *
BY CHECKING THE BOX BELOW YOU ACKNOWLEDGE THAT THIS FORM ONLY PARTIALLY SECURES YOUR DANCERS SPOT FOR THE MASTERCLASS. BY CHECKING THE BOX, YOU ARE ALSO ACKNOWLEDGING THAT PAYMENT MUST BE MADE IN FULL WITHIN 24HRS IN ORDER TO SECURE YOUR DANCER'S SPOT. 
*Please note that a team member from SE23 Studios will be reaching out to assist in processing payment to ensure spot is secured. Once 2 attempts to reach party has been made, student will be removed from sign up list)
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A copy of your responses will be emailed to the address you provided.
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