Programing Fee (Fundraising Opt Out)

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Dancer's Name* This field is required.

First Name

Last Name

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Parent's Name* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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I Choose to Opt Out of Fundraising for my Dancer's Programing FeesPlease Read through the following payment plans and select the one that applies

Pay in full (Single) - $400 Due September 15th,2025

Pay in 2 (Single) - $200 Due September 15th, 2025, & November 15th, 2025

Pay in full (2 Sibling) - $725 Due September 15th,2025

Pay in 2 (2 Sibling) -$362.50 Due September 15th, 2025, & November 15th, 2025

Pay in full (3 Sibling) - $900 Due September 15th,2025

Pay in 2 (3 Sibling) -$450 Due September 15th, 2025, & November 15th, 2025

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* This field is required.

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Signature* This field is required.I acknowledge that by signing this form, I am entering into a binding agreement and accept full responsibility for all scheduled payments.