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2020-2021 Dance Registration Form

  • Child's Information

  • Date Format: MM slash DD slash YYYY
  • Parent's Information

  • ATTENTION: Your monthly invoices will be sent to this email address
  • Emergency/Medical Release

  • Permission Emergency/Medical Treatment

    In case of an emergency requiring medical treatment, I/we give permission for my child to receive such treatment services as are deemed in the best interest of the child at the time of the emergency. I/we accept financial responsibility for those services. If possible, I/we will be contacted prior to initiating treatment.
  • Medical Insurance Info

  • Registration Fee

  • Price: $25.00