mBody Dance Workshop Registration Form
mBody's Winter Workshop, January 5th hosted at Katie's Dance Studio, El Cerrito, CA. Please fill out information below prior to attending worksop.

Payment will be due on the day of the workshop(cash, card, paypal, venmo or check). Please email mbodydanceco@gmail.com with any questions! See you there!

Email address *
Dancer's First and Last Name: *
Your answer
Dancer's Birthdate: *
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DD
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YYYY
Years of dance experience: *
Your answer
Dancer is currently registered at Katie's Dance Studio? *
Required
Select the classes you would like to attend or Full Day Below: *
Required
Select your preferred form of payment below: *
I hereby give my, or for my child under 18, permission to have my/their photo or video used for professional, promotional or advertising purposes with mBody Dance Company only. *
Please check our website for any updates you may need prior to the workshop! We look forward to moving and dancing with you!! ~mBody Dance Company
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