Season 5 Registration Form

Fusion Elite Dance Academy Registration Form

Fill out the form carefully for registration
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Parent Name
Type name
Classes
Type all classes interested in
Additional Comments
Registration is not complete until form is filled out completely and Registration fee is paid. Registration is $65/1 dancer or $100/2 or more dancers. Cashapp $AngelaShanell or Venmo @Angela-Richard-14. Once your registration form is complete and fee is paid you will receive a link to the parent portal to sign up for classes and receive Season 5 information. REGISTRATION FEE IS NONREFUNDABLE
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Fusion Elite Dance Academy Registration Form