Registration

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Bring a Friend Week : Monday, September 23 - Saturday, September 28

What to Wear: We want all guests to feel comfortable and ready to move, so athletic attire that allows freedom of movement is the way to go. This special week also coincides with our CVDA Spirit Week in which dancers will be wearing blue to show their CVDA Spirit. Guests are invited to accessorize accordingly.

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: *
	Emergency Contact Info (Not Contact #1 or #2)*

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email ( Recommended for Older Dancers ):
	School:	Grade Level:*
	Disabilities:*
	Allergies:*
	Medications:*

Questions/Options:


What Class(es) would you like to dance with your friend in? Please list the class name, day of the week, and time.*

Additional Information:

Policy Agreement

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