Imagination Campus Creative Dance Class Sign Up Form
Please fill out the information below to register your child in Creative Dance. The tuition is $50 monthly and can be paid at Please email me at with any questions about registration, payment or class details.

I look forward to teaching and sharing dance with your child!
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Student's First Name *
Student's Last Name *
Parent Name *
Parent Email Address *
Parent Phone Number *
Student birthday *
Student classroom *
Please list any medical conditions, allergies or other concerns.
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