Drop-in – Junior Registration From - Hype Dance Company

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Step 1 of 5

Under 18 Class Student Registration Form (Drop-In Classes)

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Student Name

First

Last

Student Date of Birth

Student Gender

Dance classes student enrolling on

Commercial Hip Hop / Street, Junior

Address Information

Student & parent / guardian address

Parent / Guardian address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Check this box if the student's address is the same as that of the parent / guardian

Yes, it is the same

Student Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country