Dancer's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Please select which weeks your dancer plans to attend. *

Week One (June 26th - June 30th)

Week Two (July 3rd - July 8th) No class July 4th.

Week Three (July 10th - July 14th)

Week Four (July 17th - July 21st)

Week Five (July 24th - July 28th)

Back-to-School Intensive (August 7th - August 11th)

Emergency Contact *

First Name

Last Name

Phone *

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