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Registration Form

AFeeree Dance Arts & Melmotions Summer Intensive Registration

Name:

Age

Address

Phone:

Email:

Emergency Contact (Name, Relation, Phone)

Experience (No. of Years)

1-3yrs

3-5yrs

5-7yrs

7-10yrs

10+yrs

Program Selection

Full Program $500.00

Technique Classes Only - $275.00 (Full Week)

Technique Classes Drop-In $75.00 (Per Class)

Message:

Thank you for completing your registration. Please click on the link for submitting payments.

https://afeeree-creations.square.site/

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E-mail: bakari@afeeree.com

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