Nai Ni Chen Dance Workshop
January 20, 2018
1:30-3:30 pm

Garden State Ballet Studio
28 Glen Road
Rutherford, NJ 07070

Registration is required as space is limited. PLEASE COMPLETE REGISTRATION FORM FOR EACH PARTICIPANT

Participant - First Name *
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Participant - Last Name *
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Parent/Guardian - Full Name (write N/A if over 18) *
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Email Address (Participant OR Parent/Guardian ) *
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Phone Number (Participant OR Parent/Guardian) *
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