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Registration Form (Kids Program)

To register, please take the time to fill out the information below.

Student's First Name

Student's Last Name

Street Address

City

State (i.e GA)

Zip Code

Contact Email

Contact Phone Number

Applicant's Date of Birth

Student's Age

Gender (M / F)

Previous Dance Training School

Years of Training

Student's School Name

School Grade

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Email

Parent or Guardian Phone Number

Any medical conditions (i.e. asthma, heart disease, mental illness, or N/A)

Select Class(es) Below:

Young Dancer Camp (Ages 8-13)

Week 1 (Jul 6 - Jul 10)

Week 2 (Jul 13 - Jul 17)

Week 3 (Jul 20 - Jul 24)

Entire Program (Jul 6 - Jul 24)

8 Week Program (Wednesdays)

All 8 Weeks

June 10

June 17

June 24

July 1

July 8

July 15

July 22

July 29

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Phone: (404) 491-9719

Email:

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