AHS "Lightning Bolts" Dance Clinic Registration Form - 2019
Email address *
Dancers Name *
Your answer
Grade Level *
Age of "Lightning Bolt" *
Your answer
Name of Parent/Legal Guardian *
Your answer
Address, City, State & Zip *
Your answer
Parent/Guardian Phone Number *
Your answer
Email Address (primary use of communication) *
Your answer
Emergency Contact & Phone Number *
Your answer
"Lightning Bolts" T-Shirt Size *
Please describe any food allergies that your dancer has: *
Your answer
Don't forget to fill out the Waiver and bring it with you the day of camp. You can also send your form(and $60 payment (if paying by check) to: Tammie Wallace, 5533 Agoura Glen Drive, Agoura Hills, CA 91301
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