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Dance 101 is pleased to offer you our brand new Digital Dance Class Program Package 3! Students will have access to our Live Zoom classes, digital dance classes (on demand) in your customer login and links to fun bonus material to keep you dancing! We will also continue to have Live Facebook and Instagram classes on Fridays and Live Story Time on Saturdays. Your Package 3 support also includes 1 camp kit for our Superhero camp May 16 and 2 complimentary tickets to our annual recital!
Event:
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End Date/Time:
Fee per Family:
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Family Information
First Name:
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Last Name:
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Type
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Mother
Parent
Self
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Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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Emergency Contact Info
Add New Student #1:
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Student's First Name:
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Student Gender:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
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Medications (Leave blank if NONE):
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Student's First Name:
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Birth Date:
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Student Email:
Disabilities (Leave blank if NONE):
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Add New Student #3:
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Student's First Name:
*
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Student Gender:
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Birth Date:
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Student Email:
Disabilities (Leave blank if NONE):
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Student's First Name:
*
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Student Gender:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
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Medications (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Other
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Questions/Options:
How old is the dancer enrolling into digital dance classes?
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What style of dance will the dancer registering like to participate in?
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Additional Information:
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