Registration

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Thank you for purchasing a $55 5-Class Bundle! This is your ticket to join us for any 5 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: