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Sugar Plum Fairy's-This dance will be a Duet and will be good for the Beginning and intermediate jazz dancer with at least one year experience in Jazz.

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Family Information

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

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Information*

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