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Registration
Form
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Please enclose a registration
fee of ($25.00 per family) and 1st month's tuition (non-refundable)
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Student Name: ___________________________________
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| School: _________________________ Grade:
_________ |
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Address:_____________________________________________________
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City: ____________________________ State:
__________Zip: ________
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| Phone: ____________________ Parent's Name:
_______________________________ |
| Previous Training: __________________________________________________ |
| How referred to the Center : _______________________________________________ |
| Enroll in Class: _____________________Day:
_____________ Time: _____________ |
| Class: __________________________Day: _____________
Time: _____________ |
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**Now accepting Visa and
Master card**
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Mail to:
Calabrese Center for Dance
106 Swarthmore Ave.
Folsom, PA 19033
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