Five Flags Dance Academy, LLC Online Registration

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Thank you for registering with Five Flags Dance Academy. Ms. Ashley & Mr. Chris

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Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

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Contact #1

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Student #1

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Additional Info

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Grade Level

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Student #2 (Show-Hide Details)

Student's First Name*

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Student Email

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Student Email

T-Shirt Size

School

Grade Level

Transportation

Disabilities (Leave blank if NONE)

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Medications (Leave blank if NONE)

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Address Line 1

Address Line 2

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

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Who is your employer?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

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Student #3 (Show-Hide Details)

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