Steppin' Out Registration Form
Email address *
Student Name *
Address *
City, State, Zip *
Phone *
Emergency Phone *
Parent Name *
Student's Birthday *
MM
/
DD
/
YYYY
Age *
Previous Dance Schools and Years *
Previous Consecutive Years at Steppin' Out *
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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