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We’re thrilled to share our Black Friday Special for the “Dance With Me” package! • Special Rate: $99 (valid until December 1st) • Regular Rate: $125 (effective December 2nd) Take advantage of this limited-time offer and secure your spot today! Dancers must be 5 years old of 1/1/25. No dancer is too big to participate.

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

Room:

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Family Information

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

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	Student Email:
	School:*	Grade Level:*
	Allergies (Leave blank if NONE):
	Doing Recital?:*

Additional Information:

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