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TIP TAP TOE DANCE SCHOOL

Dancer's Name _______________________________________________________


Parents' Name________________________________________________________
Cell Phone ___________________________________________________________
Email Address ________________________________________________________
Home Address ________________________________________________________
City, State, Zip ________________________________________________________
Dance Level __________________________________________________________
Any medical issues that Ms, Laura should be aware___________________________
_____________________________________________________________________
_____________________________________________________________________

$25 registration fee due at signing.


*$5.00 credit if you have a friend register with Tip Tap Toe.*

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