A Chance to Dance
Fill out the form carefully and sign up each participant.
Class Date
March, Friday 3rd, 5:00 - 6:00pm
Class Date
March, Friday 10th, 5:00 - 6:00pm
Class Date
March, Friday 17th, 5:00 - 6:00pm
Class Date
March, Friday 31st, 5:00 - 6:00pm
Class Date
March, Friday 24th, 5:00 - 6:00pm
Class Participant Name
*
First Name
Last Name
Gender
*
Male
Female
N/A
Age
*
Ethnicity
*
Hispanic/Latino
African American
Asian
White Caucasian
City where you live
*
Family/Parent/Guardian Name
*
First Name
Last Name
E-mail
*
Mobile Number
*
-
Area Code
Phone Number
Number in Household
*
Number over 62
*
My Products
*
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March Monthly Family Donation
$
25.00
March Monthly Family Donation
March Monthly Family Donation
$
35.00
March Monthly Family Donation
March Monthly Family Donation
$
50.00
March Monthly Family Donation
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Free
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Total
$
0.00
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