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Dance Fuel Dance Apparel
To register for Dance Fuel Classes, please fill in the information below: Please indicate       Summer Classes    Fall Classes
I am registering for classes in Grand Valley Shelburne Dundalk
Student's First Name:
Student's Last Name:
Gender Male Female
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Birth Date Day Month Year
School Grade
Parents/Guardian
Home Phone(mom) Work Phone Cell Phone
Home Phone(dad) Work Phone Cell Phone
Address One
Address Two
City/Town Postal Code
Email
Sitter's Name Sitter's Phone Number
Please select 1 for your first choice and 2 for your second choice, otherwise simply leave the choice as 0. As we will contact you directly, we can verify your courses when we speak. Thanks.
Ballet Acro Acting/Drama Adult Class
Jazz Tap Lyrical/ Modern Pre-Dance
Hip Hop Musical Theatre Vocal Private
Mom's & Tot's Body Back Competitive-classes Specify
Dance experience 1-2 yrs 3+years Where
What is the earliest time of day during the week dancer can attend class?
Dancer is not available on (days and times)
Health Concerns (i.e allergies):
Please provide name(s) of any siblings registered in this dance school as well:
Phone number:
What classes are they registered for?
How did you find out about us?:
Special requests (i.e. would like to be with a friend/sibling, no Saturday classes?)