313 Dance Online Registration

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Sorry, but the class: "Swiftie Dance Camp" is no longer available.

Welcome to 313 Dance! Please fill out our online registration to the best of your ability. You will receive email communication with class times and tuition once the registration is complete. If you have any questions, please email us at 313dancecompany@gmail.com

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Referral Information

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Referral Name

Family Information

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Home Address*

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Zip*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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Work #

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Contact #2

Contact #2 First Name

Last Name

Type

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Student #1

Student's First Name*

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Student Gender*

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Additional Info

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Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

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Student #2 (Show-Hide Details)

Student's First Name*

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Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

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Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

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Student #3 (Show-Hide Details)

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Special Needs (Leave blank if NONE)

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Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

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Student #5 (Show-Hide Details)

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Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

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Medications (Leave blank if NONE)

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Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

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Contact #2

How can we contact you?

Student #1

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