Registration

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Ever wanted to experience a Toddler or Preschool Dance Class at ROOTS? We have the perfect opportunity for you. Our Toddler/Preschool Sample Class is a one time, 30 min class designed to give you and your preschooler an experience very similar to a Preschool class during our regular dance season. You will be able to observe the class through our watching window, as they participate in the class. And as a bonus, when you register for our fall semester within 48 hours of your class, your class fee will be applied to your fall registration fee!

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: *

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

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:*
	Allergies:
	Medications (Leave blank if NONE):
	Previous ROOTS Dancer?:*
	Current ROOTS Music Student?:*

Additional Information:

Payment & Withdrawal Policies

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Media Release

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Release of Liability

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