VINEYARD JIVE 2017 REGISTRATION REQUEST
Vineyard Studio Location

Welcome to our Vineyard Jive Fall Registration! For any questions, please contact Kelsey directly at 801.615.3717 or vineyardjivedance@gmail.com. Each class is filled on a first-come, first-serve basis, based on the date and time of your submitted request. You will receive a class confirmation email within 72 hours of your registration – so be on the lookout! Thanks for choosing Jive! We’re excited to be in Vineyard and look forward to meeting and dancing with you!

Registering Dancer's First Name *
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Registering Dancer's Last Name *
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Registering Dancer's Birth Date (Be Sure to Select the Correct Birth Year) *
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Parent or Guardian's First Name (If registering dancer is under 18 years old)
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Parent or Guardian's Last Name (If registering dancer is under 18 years old)
Your answer
E-mail of Registering Dancer OR of Parent/Guardian if Dancer is under 18 (This may be used to contact you regarding your registration) *
Your answer
Cell Number of Registering Dancer OR of Parent/Guardian if Dancer is under 18 (This may be used to text you regarding your registration) *
Your answer
First Choice (You will be registered for this class unless this class is full before your registration is reached) *
Second Choice (You will be registered for this class if your above class choice is full before your registration is reached) *
Third Choice (You will be registered for this class if your above class choices are full before your registration is reached) *
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