Art of Kathak Dance School: Bollywood Drop In Class Registration Form
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Email *
Student's Name *
Email Address

(Please provide a valid email because this is where the welcome letter will be sent)
*
Parent's Name (if Student is under 18)
Parent/Guardian should be completing form for Student under age 18
*
Student's Age *
Student's/Parent's Phone Number *
Which class are you signing up for? 
**Class is scheduled from 1 -2  PM for ages 15 - Adults and from 10:00 - 11:00AM for ages 6 - 14
*
Does the student have any allergies or health conditions we should be aware of? If yes, what are they? *
Please acknowledge that payment will be due before class.  *
Required
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