Dance School Registration Form

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Dancer Name: Birth date: Address: Grade 2014-15: City, State, Zip: Home Phone Parent Name: Work/Cell Phone: Email : New Dancer Previous Dancer (check one) Classes: (check class or classes in which dancer will be participating) 8:30-9:30 9:30-10:15 Dance - Grades 7th and up Acro - Grades 4th and up 10:15-11:00 Special Ballet - Grades 4th and up 11:00-11:45 Dance - Grades 4th - 6th 11:45-12:30 Dance - Pre-K - K (new dancers) 12:30-1:15 Dance - Grades K - 1st (previous dancers) 1:15-2:00 Acro - Grades 1st - 3rd 2:00-2:45 Dance - Grades 2nd - 3rd CLASS PAYMENTS - (Taken from August Newsletter): Payments will be due the first week of the month..

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