The Dance Academy -Kay Williams Prunty Online Registration

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Student #1

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Transportation

Disabilities (Leave blank if NONE)

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Below are classes available. You now can sign up for additional technique classes, such as Tumbling, Ballet, TLJ (Turns, Leaps, & Jumps). If a class is full, you may sign up on the wait list.

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Student #2 (Show-Hide Details)

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Student Email

T-Shirt Size

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Grade Level*

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Below are classes available. You now can sign up for additional technique classes, such as Tumbling, Ballet, TLJ (Turns, Leaps, & Jumps). If a class is full, you may sign up on the wait list.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

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Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Below are classes available. You now can sign up for additional technique classes, such as Tumbling, Ballet, TLJ (Turns, Leaps, & Jumps). If a class is full, you may sign up on the wait list.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Below are classes available. You now can sign up for additional technique classes, such as Tumbling, Ballet, TLJ (Turns, Leaps, & Jumps). If a class is full, you may sign up on the wait list.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Below are classes available. You now can sign up for additional technique classes, such as Tumbling, Ballet, TLJ (Turns, Leaps, & Jumps). If a class is full, you may sign up on the wait list.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

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Tuition Agreement

I've read the above and agree.

Medical Treatment Consent

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Behavior Codes

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Release Waiver

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I Agree to All of the Above

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Referral Information

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Where do you live?

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Who is your employer?

Contact #2

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Student #1

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Required Policies and Agreements (Show-Hide Details)

I Agree to All of the Above

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