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Julie's School of Dance
Ltd.
Enrollment Form
Step #1)
Student Information
Please complete all the
required
fields.
First Name
Middle
Last Name
Birthdate
Gender
Start Date
F
M
Any medical condition Julie's School of Dance should be aware of.
Medical Condition
Step #2)
Responsible Party Information
Parent or Gaurdian contact information will be entered. An automatic withdrawal option
will be available for the first Parent or Gaurdian entered.
Step #3)
Emergency Contact Information
In the unlikely event of an emergency we need an Emergency Contact in case you
cannot be reached.
Step #4)
Login Information
A unique Username and Password is required to create your account and allows you
to login to this site.