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Dancer's Name and Surname *

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Last

Dancer's date of birth *

Dancer's Current School grade *

Number of previous years danced

Check all dance experience

Class Preferences

Ballet (ages 4 - 18 years)
Modern / Jazz (ages 4 - 18 years)
Contemporary (ages 12 - 18 years)
HipHop (ages 12 - 18 years)
Tap (ages 4 - 14 years)

Parent/Guardian Name *

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Last

Parent/Guardian Email *

Parent/Guardian Phone *

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