Student Information
Student Full Name
*
First Name
Last Name
Student Birthdate
*
-
Month
-
Day
Year
Date
Parent/Guardian Full Name
First Name
Last Name
E-mail
*
example@example.com
My Rehearsal
*
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12/5 Elf Express Dance
Ages 3-4 5:15-6PM
$
25.00
12/5 Reindeer Rock Dance
Ages 5-7 6-6:45PM
$
25.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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