BLACK REGISTRATION

BLACK SCHEDULE
TUE.	THUR.
Tap BLACK Gr. 9-13 4:45-5:30	Jazz BLACK Gr. 9-13 4:45-5:30
BREAK	BREAK
Acro BLACK Gr. 9-13 6:15-7:00	Hip Hop BLACK Gr. 9-13 6:15-7:00
Lyrical BLACK Gr. 9-13 7:00-7:45	Musical Theatre BLACK Gr. 9-13 7:00-7:45
Ballet RAD 3 or 4 BLACK Gr. 9-13 7:45-8:45	Ballet RAD 3 or 4 BLACK Gr. 9-13 7:45-8:45

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Last name*

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Zip code*

City*

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Student info

Home address

Country

Address*

Address line 2 (optional)

Postal code*

City*

Province/territory*

Email*

Mobile phone

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Child's First Name*

Child's Last Name *

Child's Birth date*

Any medical conditions?*

Emergency Phone number

Emergency Phone number*

Child's Gender

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Female

Your payment

Your price

Annual Registration Fee - One Per Student
CAD 25

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