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Registration

Please send appropriate payment to 258 Beartooth Pkwy Suite 170 Dawsonville GA 30534
 to hold your place.  One dancer per registration please.

Dancer First name
Dancer Last name
Parent or Legal Guardian's Name
Dancer's Age
Dancer's Birthday
Gender
Address
City
Zip
E-mail
Home Phone
Work Phone
Cell Phone
Emergency Contact
Emergency Contact Phone
Please list any health issues
Please list any allergies
Please list any dance experience		Style, Years, School
Class:
Please enter the class day
Please enter the class time
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