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Registration
To register, please take the time to fill out the information below.
Dancer's First Name
Dancer's Last Name
Parent/Guardian Name
Phone
Birthday
Address
Email
Desired Class Times:
Tuesday 4:30 - 5:30 PM | 4 - 7 year olds
Tuesday 5:30 - 6:30 PM | 7 - 11 year olds
Tuesday 6:30 - 7:30 PM | 11 - 15 year olds
I want a different time & date. Please contact me to schedule.
Thursday 4:30 - 5:30 PM | 7 - 11 years old
Thursday 5:30 - 6:30 PM | 4 - 6 years old
Thursday 6:30 - 7:30 PM | 18+ years old
How did you hear about us?
Facebook
Instagram
Northbrook Court
Family/Friend
Youtube
Google Search
Yelp
What session do you plan on participating in?
Session 1 :: September 8, 2020 - December 18, 2020
Session 2 :: January 5, 2021 - June 6, 2021
Both Sessions & Recital
Do you have any allergies, dietary restrictions (vegetarian, pollotarian, etc.) or other health concerns (asthma, vertigo, etc.) that Culture In Motion should be made aware of?
Do you have any other questions, comments or concerns?
If you were referred to us by friends/family, please write their name here.
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