Steppin' Out Registration Form
Email address *
Student Name *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Phone *
Your answer
Emergency Phone *
Your answer
Parent Name *
Your answer
Student's Birthday *
MM
/
DD
/
YYYY
Age *
Your answer
Previous Dance Schools and Years *
Your answer
Previous Consecutive Years at Steppin' Out *
Your answer
Dance Phases Desired *
Required
Start Date *
MM
/
DD
/
YYYY
Recital *
A copy of your responses will be emailed to the address you provided.
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