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