[2022-2023] Lilac • Mon • Tap • 4:00pm

Contact information

Name

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We'll send your receipt and other important info to this email.

Country

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Students:

Quantity

Student Copy billing address

Parent Cell Phone

Country

Home address

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City

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Dancer First Name

Dancer Last Name

Dancer's Gender

Dancer's Birth Date

Does your child have any medical conditions?

Emergency Contact(s)

Additional information we should know about your child and/or family?

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Regular Registration 4 payments of

$55

Included

Free

Additional 0% tax will be applied at checkout.

$55

Total due $55

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$55

Total due $55