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Commercial Jazz/ Hip-Hop A 90 minute upbeat, care-free, non-judgmental commercial jazz/hip-hop class. All levels are welcome! Light refreshments will be served during the break and at the end of class. Must be 18 to register, 21 to participate in libations. Attire: comfortable cool clothing, sneakers and your water bottle. Participants must be 18 & up, all levels are welcome!

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

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

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	School:	Grade Level:*
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	Medications (Leave blank if NONE):
	Interested in Competing?:
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