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 https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=DSEFXED939HVW. Please email me at mollie.haven@gmail.com with any questions about registration, payment or class details.

I look forward to teaching and sharing dance with your child!

Student's First Name *
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Student's Last Name *
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Parent Name *
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Parent Email Address *
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Parent Phone Number *
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Student birthday *
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Student classroom *
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