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Registration Form
Student:
E-mail:
Home #:
Questions or Comments:
Arabesque Acaemy of Dancing
"Personalized Dance Training From A
Professional, Experienced, & Compassionate Staff"
Parent:
Address:
Student Birthday:
Cell #:
Credit Card #:
Credit Card Exp.:
Full Season Classes:
Student Sizing:
Leotard Color Preference
Auto-Pay Option:
Please indicate days and times below....
There is a $25 Registration Fee per student for full season classes.
Payment Plan Option:
Payment Date
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Yes, I would like to use Auto-Pay!  (A Discount Applies.)
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