INSPIRE Dance Registration Form 2019-2020
Child's First Name
Your answer
Child's Last Name
Your answer
Age
Your answer
Birthdate
MM
/
DD
/
YYYY
Parent's Names (First and Last)
Your answer
Street Address
Your answer
City/State/Zip
Your answer
Phone
Your answer
Email
Your answer
Does your child have any medical conditions that we should be aware of?
Your answer
Has your child danced before?
Which class is your child interested in? (Please include day and time)
Your answer
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