Black Registration Package

Billing information

First name*

Last name*

Email for order confirmation*

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Country

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Zip code*

City*

State*

This product is for someone else

Student info

Parent Email*

Parent Cell Phone

Parent Cell Phone*

Home address

Country

Address*

Address line 2 (optional)

Zip code*

City*

State*

Dancer First Name*

Dancer Last Name*

Dancer's Birth Date*

Dancer's Gender*

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

Emergency Contact(s) *

How did you hear about us?*

Does your child have any medical conditions?*

This is a gift

When would you like this gift to be delivered at?

Time zone: (GMT-05:00) Eastern Time (US & Canada)

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If you want them to know who it's from, tell them here.

How many students?

Quantity

Your payment

Your price

Reg Fee
$214

Have a coupon code?

Coupon code

Update

INCLUDED: Black • Mon • Ballet • 5:00pm

INCLUDED: Black • Mon • Tap • 5:30pm

INCLUDED: Black • Mon • Jazz • 6:00pm

ADD-ON: Black • Wed • Hip Hop • 6:30pm

$77

Stripe

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Expiration

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3-4 digit code (see where to find it)

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