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Type N/A if older than 18
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Little Mover's Info
Name
Email
example@example.com
Age
DOB
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By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that the activities held at The X-Perience Dance Company are physical in conduct and could potentially result injury. I am aware of the potential risk associated with dance. However, XDC will not be held accountable in the event of a dance/ acrobatic or any physical activity related injury. Upon enrollment, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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Class Fee
Non refundable
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20.00
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1
2
3
4
5
6
7
8
9
10
Date
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March 1st
March 15th
Both Dates
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