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Trolls Dance Party Jazz, Tap & Acro Ages 3-5
June 19th - 23rd, 2023 9:00 am - 12:00 pm
Studio 3 | Limit 12 Students

Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Relationship to student*
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
I understand there are no refunds after May 1. Class may be changed if program is available.*
I uunderstand there will be a $5.00 charge per minute I am late picking up my child. *
I understand drop off and pick up will be done in the dance hallway not in the circle *
I understand this is a week long program*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
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