DanceXpress Senior
L'ecole Henry Hudson School Gym
Grades 2-5
Jan 8 - March 16
3:10-4:10pm
School Gym
Name of student *
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Grade *
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Gender *
Name of Parent/Guardian *
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Parent/Guardian Email *
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Parent/Guardian Emergency Phone Contact *
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I give permission for my child, to participate in DanceXpress junior as described. I understand that my child may be exposed to a risk of injury due to accident while participating in this activity. *
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