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Dance Class Registration

Please let us know your name.
Please use d/m/y format (example: 01/01/2013)
Please let us know your email address.
please enter your address
Please enter a city for your address.
Please enter a zip code.
Please enter the Parent/Guardian Name, for adults you may use "Self"
please use this format 123-456-7890 for your phone number
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please use this format 123-456-7890 for your phone number

Please select at least one class.
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Please call 269-963-0669 if you have any questions.

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