Concord Dance Club Online Registration

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Welcome to Epic Dance Studios! Our philosophy is simple, we want to share our love of dance, community and service with you and your child. Please feel free to contact us directly with any questions you may have at info@epicdancestudios.com or 574-830-5243.

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Parent/Guardian Information

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Home Address*

City*

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Zip*

Primary Phone*

Additional Info

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Contact #1

Contact #1 First Name*

Last Name *

Type*

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Home Phone

Work #

Cell # *

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Confirm Email*

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Contact #2

Contact #2 First Name

Last Name

Type

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Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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Medications (Leave blank if NONE)

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Student #3 (Show-Hide Details)

Student's First Name*

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Student Gender*

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Student #4 (Show-Hide Details)

Student's First Name*

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Address Line 1

Address Line 2

City

State

Zip*

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Registration

Parent/Guardian 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

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

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Additional Info

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