Rising Stars 2019-2020 Registration Form
There is a $25 non refundable registration fee due upon enrolling for each student.
Email address *
Dancer's Name
Your answer
Dancer's Age
Your answer
Dancer's Birthdate
Your answer
Parent/Guardian Name
Your answer
Phone Number
Your answer
Mailing Address
Your answer
Email Address
Your answer
School Attending
Your answer
Previous Experience
Your answer
Please select the class you wish to register for
Name on Credit Card
Your answer
Credit Card Number
Your answer
Credit Card Expiration Date
Your answer
I give Rising Stars Permission to charge the above card
Submit
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