2019 / 2020 Rachel D's Dance Registration
Registration Deadline: September 13, 2019
Contact us at (507) 884-9151 or racheldsregister@gmail.com
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Dancer's Name *
Dancer's Age *
Dancer's Grade (2019/2020 School Year) *
Dancer's Birthday *
MM
/
DD
/
YYYY
Dancer Cell Phone (If Applicable) *
Dancer Email Address (If Applicable, Will be used for Studio Information Only) *
Mailing Address *
Primary Contact Name *
Primary Contact Phone Number *
Primary Contact Email #1 *
Primary Contact Email #2 (type N/A if not applicable) *
Secondary Contact Name *
Secondary Contact Phone Number *
Secondary Contact Email #1 *
Secondary Contact Email #2 (type N/A if not applicable) *
Emergency Contact Name (Person to be contacted in the event the Primary and Secondary contacts cannot be reached) *
Emergency Contact Phone Number *
Emergency Contact Email Address *
If NEW to Rachel D's please list previous years of experience, and in which form (i.e. 7 Yrs Ballet, 2 Yrs Tap, Etc.)
Class(es) Registering For: *
Required
Total Studio time for Individual Dancer (in minutes) NOT including competition.
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