Laura's Dance Studio Registration Form 2019-2020
To register, submit this form and return payment (cash or check only) to Laura's Dance Studio 618 Springfield Avenue, Berkeley Heights NJ 07922
Email address *
Student's First and Last Name *
Your answer
Age *
Your answer
Birth Date *
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2nd Student's First and Last Name
Your answer
2nd Student's Age
Your answer
2nd Student's Birth Date
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DD
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YYYY
Today's Date *
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DD
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YYYY
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
By signing below I understand that Laura's Dance Studio is not responsible for injuries while in class or on the premises.
Parent or guardian's Name/Signature if under 18 years of age *
Your answer
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