Dancin' Daze Fall 2003 Registration
Register by calling 919-658-3493 or
print and mail this form with $25.00 Registration Fee to:
Dancin' Daze Studio
P. O. Box 1005
Mount Olive, NC 28365

Student_________________________________Birthdate:______________Home #______________________

Parents:______________________________________________________Work #_______________________

Address:______________________________________________________Email_________________________

Class:__________________Class:__________________Class:_________________Class:__________________



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