Registration
Come DANCE & SHINE in our fun Jazz Dance workshop!! Friday, July 31, 9am to Noon. We will also have a small craft!! 11:45 a.m. Dance Showoff for Parents! **LIMITED CLASS SIZE** Dancers can wear normal active wear or dance wear, Jazz Shoes or Tennis Shoes. Bring a water bottle and snack.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Name of Dancer & Age:
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
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