Fall 2019 Adult Registration
Select the class you would like to register for: *
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Name *
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Preferred Gender Pronouns *
(He/Him/His, She/Her/Hers, They/Them/Theirs, other)
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Email Address *
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Phone Number *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Release and Waiver of Liability *
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Photo/Video Release (Optional)
Special Considerations
Please use this space to ask questions or voice any concerns relative to your participation in flamenco classes.
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