Suzanne's School of Dance Online Registration

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Thank you for wanting to register with Suzanne's School of Dance. Please fill out our registration form completely to make sure you are registered well.

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Referral Information

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Contact #1

Contact #1 First Name*

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Contact #2

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Student #1

Student's First Name*

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Additional Info

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Student #2 (Show-Hide Details)

Student's First Name*

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Primary Doctor

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Primary Doctor

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Student #5 (Show-Hide Details)

Student's First Name*

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Additional Info

T-Shirt Size*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

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Primary Doctor

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Registration

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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Student #3 (Show-Hide Details)

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