Stage Door Dance & Performing Arts Workshop Online Registration

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Contact #1

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Student #1

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Medications (Leave blank if NONE)

Please Review Current Dress Code

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Additional Info

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School

Grade Level

Disabilities (Leave blank if NONE)

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Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please Review Current Dress Code

Enroll in Classes

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Student #4 (Show-Hide Details)

Student's First Name*

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Additional Info

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

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Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please Review Current Dress Code

Enroll in Classes

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Student #5 (Show-Hide Details)

Student's First Name*

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Student Gender*

Birth Date*

Additional Info

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please Review Current Dress Code

Enroll in Classes

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Contact #1

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Contact #2

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Student #1

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Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

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Student #2 (Show-Hide Details)

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