Tupelo Academy of Dance Arts Online Registration

TUPELO ACADEMY OF DANCE ARTS....2224 WEST JACKSON ST.....TUPELO, MS 38801....662-844-4352

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Contact #2

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Need class after 5 pm

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New TADA student?*

If new, list dance training

List desired classes*

Carpool group/names

Need class after 5 pm

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New TADA student?*

If new, list dance training

List desired classes*

Carpool group/names

Need class after 5 pm

Student #4 (Show-Hide Details)

Student's First Name*

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Disabilities (Leave blank if NONE)

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Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

New TADA student?*

If new, list dance training

List desired classes*

Carpool group/names

Need class after 5 pm

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date* (format=mm/dd/yyyy)

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Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

New TADA student?*

If new, list dance training

List desired classes*

Carpool group/names

Need class after 5 pm

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