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40-42 Besanceney Drive
c Mansfield, PA 16933
c (Behind the high school)
ccccccccccccccccccccccccccccc (570) 662-2999
Tiogacountyymca.org
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This Jazz-infused-with-Hip Hop class is for all levels. Students will have fun learning new
moves and mixing them with the Hip Hop moves of today in a relaxed and inviting
atmosphere. Choreographed dance routines set to some of today¶s hits and more.
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Members $15/ Potential Members $25

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Members $25/ Potential Members $35
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Members $25/ Potential Members $35
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Registrations received after May 28 th will be assessed an additional $10 fee
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Child¶s Name (for youth participant): ________________________________ Age: __________

Parent¶s Name (or adult participant): _____________________ Class Attending: _________________

Home Phone: _______________________________ Cell Phone: _______________________

Street Address:____________________________________ City:_______________ Zip: ________

E-Mail Address: _____________________________________________________________________