Amped To Dance, LLC Online Registration

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Welcome to Amped To Dance; the dance studio where PASSION MEETS MOVEMENT :) We are so excited to have you join us for season five! Please note the $100 registration fee and the first month's tuition is due immediately upon enrollment. The card on file will be the method of payment used. *All payments are non-refundable. Let's get #AmpedToDance!

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Additional Info

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

Contact #1

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Contact #2

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Student #1

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Additional Info

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

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Disabilities (Write NONE if N/A)*

Special Needs (Leave blank if NONE)

Allergies (Write NONE if N/A)*

Medications (Write NONE if N/A)*

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

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Disabilities (Write NONE if N/A)*

Special Needs (Leave blank if NONE)

Allergies (Write NONE if N/A)*

Medications (Write NONE if N/A)*

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

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Disabilities (Write NONE if N/A)*

Special Needs (Leave blank if NONE)

Allergies (Write NONE if N/A)*

Medications (Write NONE if N/A)*

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

Enroll in Classes

Select Class *

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Disabilities (Write NONE if N/A)*

Special Needs (Leave blank if NONE)

Allergies (Write NONE if N/A)*

Medications (Write NONE if N/A)*

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

Enroll in Classes

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Exp Year *

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Address Line 1

Address Line 2

City

State

Zip*

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