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Privacy Policy: Your information will not be shared with
anyone else.
Credits: The
amount of credit is based on the period between notification of
withdrawal and the end of the session minus a $25.00 penalty or
2 weeks notice. Classes missed before notification will not be credited.
Credit vouchers may be used for siblings and may not be used for
merchandise. No Refunds.
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| Child's Name |
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| Child's Age |
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| Parent's Name |
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| Street Address |
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| City |
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| State |
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| Zip Code |
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| Daytime Phone |
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| Evening Phone |
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| Email |
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| Name of Class |
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| Day |
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| Time |
(fill in correct time) |
Payment Options:
(Choose the one that applies)
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| All Ages |
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or |
Prorated for late registration
Select number of weeks remaining x $12.50
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x $12.50 =
(prorated amount) |
| Questions or comments |
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- If you are registering for one class only, please review your information for accuracy, then press the "submit" button at the bottom of this page.
- If you are registering for more than one class for this child, continue to fill out the form below.
- If you wish to register another child, complete and submit this registration form first, then fill out a separate form for each additional child.
NOTE:
You will need to pay for each child separately. |
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Signup for a second class for the child named above:
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| Name of Class |
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| Day |
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| Time |
(fill in correct time) |
Payment Options for the second class:
(Choose the one that applies) |
| All Ages |
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or |
Prorated for late registration
Number of weeks remaining x $11.50
|
x $11.50 =
(prorated amount) |
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Signup for a third class for the child named above:
If not signing up for a third class, please review your information for accuracy and press the submit button at the bottom of the page.
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| Name of Class |
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| Day |
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| Time |
(fill in correct time) |
Payment Options for the third class:
(Choose the one that applies) |
| All Ages |
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or |
Prorated for late registration
Number of weeks remaining x $10.50
|
x $10.50 =
(prorated amount) |
| Please take a moment to review you information for accuracy. Once you press the "submit" button, your information will be forwarded to KidsNDance. (Before registration can be completed, however, you will need to complete payment.) |
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