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Registration
I'd rather be dancing!
By submitting my registration form, I acknowledge that I have read and understand the fee policies for the term enrolled.  I also understand that there are certain risks of injury involved in any physical activity and do not hold A Dance Studio or it's staff responsible.

Families pay only one registration fee.

Additional weekly classes after the first are discounted, paid monthly.




Parent First:
Parent Last:
City:
Address:
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Zip:
Hm Phone:
Work or Cell: 
Student Last:
Prior Training:
Birthdate: 
Class 2: 
Student First:
Grade:
Age:
Class 1: 
Medical:
Class 3:
Student Last:
Prior Training:
Birthdate: 
Class 2: 
Student First:
Grade:
Age:
Class 1: 
Medical:
Class 3:
Enroll
To contact us:

A Dance Studio
POB 196
Niceville, FL   32588-0196

Phone: 850-678-3602

E-mail: adancestudio@
           adancestudio.net


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