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$5 Trial Registration JAX
1
Parent Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
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Please enter a valid phone number.
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4
Dancer’s Name
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First Name
Last Name
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5
Dancer’s Birthday
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6
Choose a $5 Trial Class
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Ages 2-5 ballet/jazz Mondays 4:45 pm
Ages 6-16 ballet Mondays 5:30 pm
Ages 6-16 hip hop Mondays 6:20 pm
Ages 2-5 jazz/hip hop Saturdays 2:30 pm
Ages 6-16 ballet Saturdays 3:15 pm
Ages 6-16 majorette Saturdays 4:15 pm
Ages 6-16 acrobatics Saturdays 5:15 pm
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7
Trial Date
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Date
Year
Month
Day
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