Registration
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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)*
 
 
 
Questions/Options:
Student Name:*
Student Age:*
Class(es) Interested In:*
What Studio(s) have/are you training with?*
How many years of dance training do you have?*
What styles/genre of dance have you studied?*
How did you hear about Next Stage Dance & Drama Academy?*
 
Additional Information:
 
 
Other Questions/Comments: