Dance Legacy 2018-2019 Fall Session
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Email address *
Child's Name
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Child's Birthday
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Child's Age
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Parent's Full Name
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Phone Number
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Email Address
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What Class Date/Time Would You Like to Register For? If registering for multiple classes, please fill in "Other" with your additional classes *
If you have questions about what week to register your child for, please let me know.
Emergency Contact Name and Phone Number
Name & Phone Number other than yourself
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