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To enrol for 2020 please fill out the form below. Enrolment confirmation and class information will be sent back to you as soon as possible.

Parent/Guardian First Name:

Last Name:

Student's Full Name:

Date of Birth

EMAIL ADDRESS:

Phone:

Address 1:

Address 2:

Class Enrolled

If you are not participating in all 3 classes (Tap, Jazz/Funk/Hip Hop & Ballet please specify your classes below

Emergency Contact Person:

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Existing injuries/Medical Conditions:

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Thank you! Your information has been submitted successfully. A confirmation email will be sent to you shortly. Please contact Shann via phone if no email received.

SHANN SIMPSON'S DANCE COMPANY