Policies and Guidlines | Liability Waiver |
Registration Form |
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| | Studio 34 Dance Academy Registration Form - Please Print | |
| | *One Per Dancer |
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Student Name | _________________________________
Age |
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Grade (as of 9/11) | |
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Parent/Guardian Name | _________________________________
Phone Number | _________________________________
Cell Number | |
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Address | _________________________________
City / State | _________________________________
Zip Code | |
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Email Address |
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| | Class: | Day: |
Time: | |
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| | 1._______________________________ |
_________________________________ | _________________________________ | |
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| | 2._______________________________ |
_________________________________ | _________________________________ | |
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| | 3._______________________________ | _________________________________ | _________________________________ |
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4._______________________________ | _________________________________ | _________________________________ | |
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| | 5._______________________________ | _________________________________ | _________________________________ | |
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| | 6._______________________________ | _________________________________ | _________________________________ | |
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| | 7._______________________________ | _________________________________ | _________________________________ | |
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| | 8._______________________________ | _________________________________ | _________________________________ |
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9._______________________________ | _________________________________ | _________________________________ | |
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| | 10.______________________________ | _________________________________ | _________________________________ | |
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Total Classes per week | _________________________________
Total Monthly Tuition |
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Parent/Guardian Signature | _________________________________
Date | |
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