Registration

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

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*

Students entered below will be added to your family's account

Add New Student #1:

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Questions/Options:


Are you going to re-use your solo/duo/trio from the 2019-2020 season? If yes, you do not need to answer the following questions.*
Do you want to do a solo, duo or trio? Name your duo or trio partner(s).
Dancers name, grade and years of competition experience.
If you could choose your s/d/t dance style, what would you choose?
Who is your first choice for your s/d/t teacher? 2019-2020 Fuzion Faculty Includes: Kelly, Alyssa, Neely, Krystal, Susan, Maggie
Who is your second choice for your s/d/t teacher? 2019-2020 Fuzion Faculty Includes: Kelly, Alyssa, Neely, Krystal, Susan, Maggie
Who is your third choice for your s/d/t teacher? 2019-2020 Fuzion Faculty Includes: Kelly, Alyssa, Neely, Krystal, Susan, Maggie

Additional Information:

Requirements

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