Contact Information
This form is to register for Summer 2019.
Email address *
Students First Name *
Your answer
Students Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Students Age *
Your answer
Grade Student is in if applicable
Your answer
Address *
Your answer
Phone number *
Your answer
If we needed to contact you, how would you prefer to be contacted? *
Required
Is there any allergies/health concerns that might affect the dancer that we need to be aware of?
Your answer
Any additional Comments?
Your answer
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