Steppin' Out Registration
Fill out the form. Fields marked with * are required.
Dancer's Name
Age
Phone
Box #
email address
Parent/Guardians Name
Contact Phone #
Emergency Contact
Emergency Contact Phone
Any Medication? If so, what?
Any Allergies?
Please check the class choices
Ballet
Tap
Jazz
Pre Pointe
Tots Combo
Kinder Combo
6 plus 3?
*
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Contact Form