Registration

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info

Students entered below will be added to your family's account

Questions/Options:


Leotard/ Shirt Size? Options for leotard are Child Sizes (CXS, CS, CM, CL) or Adult (AXS, AS, AM, AL). T-shirt sizes are Youth XS, S, M, or L. Fees apply for ordering the wrong size.*

Additional Information:

Recital Costs

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Recital Leotard

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Recital Seating

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Liability / Media Release

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Enter your Full Name: