Student Information
First Name:
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Last Name:
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Date of Birth:
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Dance Experience:
No Experience
Beginner (1-2 Years)
Intermediate (3-4 Years)
Advanced (5+ Years)
Parent/Guardian Information
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Last Name:
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Class Preferences
Class Type:
Acro
Ballet
Hip-Hop
Jazz
Tap
Competition Team:
Yes
No
Additional Information
Comments:
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