Registration

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Thank you for purchasing a $100 10-Class Bundle! This is your ticket to join us for any 10 of our Adult Class days. Just mention your bundle when you arrive! Check our schedule for current style offerings: s6adance.com/adult-class-series/ Value expires April 30, 2025.

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

Room:

* - denotes required fields

Family Information

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

	Address: *
	City: *	State: * Zip: *

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:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):

Additional Information: