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5
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1
Student Name
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First Name
Last Name
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2
Parent/ Guardian name
If student is under 18
First Name
Last Name
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3
Email
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example@example.com
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4
Phone Number
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Please enter a valid phone number.
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5
Please confirm you give permission for us to contact you via email about joining Dance Passion and other useful information
*
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Yes, please add me to your mailing list to receive information about Dance Passion
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