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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 Click here for the
Popup Calendar.   Gender   Start Date Click here for the
Popup Calendar.
           
    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.