Registration Form 2020-2021
To register, submit this form and payment (cash, check or Venmo to Renee-Quickstad) to Love of Dance Studio 430 Springfield Avenue Lower Level Suite 3 Berkeley Heights, NJ 07922.
Email address *
Student's First and Last Name *
Age *
Grade *
Birth Date *
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2nd Student's First and Last Name
2nd Student's Age
2nd Student's Grade
2nd Student's Birth Date
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3rd Student's Age
3rd Student's Grad
3rd Student's Birth Date
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Address *
City *
Zip Code *
Phone Number *
By signing below I understand that Love Dance Studio is not responsible for injuries while in class or on the premises.
Parent or guardian's Name/Signature if under 18 years of age *
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