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Join us for an hour of fun and learning the ever-popular FortNite Dances. $10 each class or $25 if you enroll in all three. Siblings $3 off Any price adjustments will be processed by our office and emailed to you.
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Emergency Contact Info (Not Contact #1 or #2)
Students entered below will be added to your family's account
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kindergarten
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Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
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Allergies (Leave blank if NONE):
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
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Allergies (Leave blank if NONE):
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
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Allergies (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Allergies (Leave blank if NONE):
Additional Information:
Waiver
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My child has permission to participate in the programs at Dance With Me School of Dance (DWMSOD, LLC). I verify that the participant is in good health with no limitations for dance and all other activities. held by DWMSOD, LLC . I hereby release DWMSOD, LLC owners , its instructors and agents from claims on any injuries which may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of DWMSOD, LLC. I recognize and appreciate the risks involved in some activity involving dance.
I've read the above and agree.
Photo and Media Release
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I hereby grant permission to Dance With Me School of Dance (DWMSOD, LLC ), to use use any photos or videos taken in all forms and media for advertising, trade, in any and all of its publications, including web-based publications, without payment or other consideration.
I've read the above and agree.
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