Artmind Dance Registration Form
Address: 160 East Beaver Creek Rd #22, Richmond Hill, ON L4B 3J6
Contact: (647) 889 - 3330
Website: artminddance.com
Email: torontoartmind@gmail.com

Student's full name 学生全名 *
Date of birth 出生日期 *
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Phone number 电话号码 *
Email 电子邮件 *
Address
Emergency Contact Full Name 紧急联络人姓名 *
Emergency Contact's Phone Number 紧急联络人电话 *
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