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  • Derek Piquette Reg Form

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    Anonymous GHTUk0BT
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    Derek Piquette Registration Form provides information for registering a dancer for dance classes at CDPAC in Cleveland, TN between June 13th and the registration deadline of June 10th. The form collects the dancer's name, experience level, parent's contact information, and allows selection of classes including Minis, Acrobatics, Technique, and Contemporary costing $30 each. Payment is due by June 10th to reserve the dancer's spot via check, cash, or credit card through specified PayPal accounts.

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    Derek Piquette Registration Form provides information for registering a dancer for dance classes at CDPAC in Cleveland, TN between June 13th and the registration deadline of June 10th. The form collects the dancer's name, experience level, parent's contact information, and allows selection of classes including Minis, Acrobatics, Technique, and Contemporary costing $30 each. Payment is due by June 10th to reserve the dancer's spot via check, cash, or credit card through specified PayPal accounts.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    15 views1 page

    Derek Piquette Reg Form

    Uploaded by

    Anonymous GHTUk0BT
    Derek Piquette Registration Form provides information for registering a dancer for dance classes at CDPAC in Cleveland, TN between June 13th and the registration deadline of June 10th. The form collects the dancer's name, experience level, parent's contact information, and allows selection of classes including Minis, Acrobatics, Technique, and Contemporary costing $30 each. Payment is due by June 10th to reserve the dancer's spot via check, cash, or credit card through specified PayPal accounts.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Derek Piquette Registration Form

    Location: CDPAC 120 North Ocoee St. Cleveland, TN 37311


    Date: June 13th
    Registration Deadline Friday June 10th!!! No exceptions
    Dancers Name _____________________________________
    Circle One

    Beginner

    Intermediate

    Advanced

    Parents Name _____________________________________


    Parents Email ______________________________________
    Available Classes: Please Circle
    Minis Class ( Ages 6 & Under ) 1 hour
    Acrobatics ( Intermediate & Advanced ONLY ) 1.5 hours
    Technique 1.5 hours
    Contemporary 1.5 hours
    Each Class is $30.00 per dancer.
    Total Registered Classes ______
    Total Amount $ _________
    Office Use: Payment Method
    Check _______

    Cash _______

    Credit Card _____

    Please email registration forms to: nisahooper@gmail.com or


    triamontgomery@gmail.com and send to either of these PayPal accounts. In order to
    reserve your dancers spot, registration form and full payment must be submitted by
    Friday June 10th!

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