The Dancing Lights Ballet School Online Registration

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Student #1

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Please Note: There is a annual $25 Registration Fee per family.

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Please Note: There is a annual $25 Registration Fee per family.

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Please Note: There is a annual $25 Registration Fee per family.

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Please Note: There is a annual $25 Registration Fee per family.

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Student #5 (Show-Hide Details)

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Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies*

Medications (Leave blank if NONE)

Primary Doctor

Please Note: There is a annual $25 Registration Fee per family.

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

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Contact #2

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Who is your employer?

Student #1

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