Fall Registration
Fall 2018-2019 Registration
Email address *
Student First Name
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Student Last Name
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Student Address
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Parent Name
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Parent Phone Number
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Studio
Student Birth Date
MM
/
DD
/
YYYY
Student Age *
Your answer
Student Gender
Student Class Interest Preschool Age 3-6
Student Class Interest Ages 6-18
Student Class Interest Ages 18 and Up
Current or New Student *
Number Of Years at Dance Stop
Your answer
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