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Cookies with Santa for ages 3-9 years old. Includes cookie, photo with Santa, and dancing.
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Family Information
First Name:
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Last Name:
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Type
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Father
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Parent
Step Father
Step Mother
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Emergency Contact Info
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Non-binary
Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
Add New Student #2:
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
Add New Student #3:
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Student's First Name:
*
Last Name:
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Student Gender:
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Female
Male
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Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
Add New Student #4:
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Student's First Name:
*
Last Name:
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Student Gender:
*
Female
Male
Non-binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
Additional Information:
Payment Policy/Video & Photo Waiver
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Our studio requires families to make payments by credit card. We accept MasterCard and Visa credit cards. There are no refunds and your payment will be processed at time of registration. I give Next Step Dance Studio my permission for the public display of pictures and or video of my child for possible advertisement purposes (i.e. brochures, newspaper ads, web site, etc.).
I've read the above and agree.
Medical Emergencies
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In case of emergency or sudden illness, I hereby give authority to any Hospital or Doctor to render immediate emergency aid as it might be required for the undersigned student's health and safety. Next Step Dance Studio DOES NOT carry medical insurance for its students. It is required that all students be covered by their own family insurance and if injury occurs, it is understood that the students own policy is your only source of reimbursement. I hereby declare the participant to be in good physical and mental health.
I've read the above and agree.
Release And Liability/Privacy Policy
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I certify my child has no ailments or disabilities that would prevent my child from participating in Next Step Dance Studio activities. As the legal parent or guardian, I release and hold harmless Next Step Dance Studio, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant while in or upon the premises or any premises under the control and supervision of Next Step Dance Studio, its owners and operators or in route to or from any of said premises.
For your convenience, Next Step Dance Studio LLC has online security. NONE of your personal or payment information will ever be shared with a third party. It will be used for Next Step Dance Studio use only.
I've read the above and agree.
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